HomeMy WebLinkAbout12-93 Maria S Yost - Gainesboro - BackfileRECEIPT
NZ 023971
AMOUNT DUE
s ) t, c
AMOUNT PAID
/ ��- '
BALANCE DUE
PAID BY
CASH
CHECK�l Z.
El OTHER
'1;:.' PT. OF PLANNING AND DEVELOPMENT
LOUDON ST.
WINCHESTER, VIRGINIA 22601
THE SUM OF
DATE 1 Lam' `
/ -DOLLARS W
CUP TRACKING SHEET
(To be completed by Frederick Co. Staff only.)
CUP 6i 1 910,,
Owner/Applicant Maria S. Yost �'' DEC
RECEIVED
Application Date December 7, 1993 DEPT, OF PLANNING c`
��.. AND DEVELOPMENT
Fee Paid
ELI
yes
initials:
gll
Sign Deposit
E]
yes
Sign return
date:
Submittal Cut -Off Date December 10, 1993
P/C Mtg. date: 1/05/94 BOS Mtg. date: 1/26/94
X VDOT
x Inspections
Fire Marshal
Health Dept.
AGENCY REVIEW COMMENTS
Airport Authority
City of Winchester
Co Sanitation Authority
PLANNING COMMISSION RECOMMENDATIONS OF 909
(da e)
APPROVAL (WITH CONDITIONS) r yes no
aDENIAL Signe 4�� Secretary
Date
BOARD OF SUPERVISORS PUBLIC HEARING ACTION
te) f
APPROVAL
Signed
DENIAL Date
County Adm.
a.. %SztA,..Ix.. ...«...n-.n..--.�e..,..+.+....n...w.-.r
COUNTY of FREDERICK
Department of Planning and Development
703 / 665-5651
Fax 703 / 678-0682
TO:
MEMORANDUM
Finance Department
FROM: Denice Cather, Clerk Typist II C 1 �—
SUBJECT: Return Of Sign Deposit
DATE: March 1, 1994
The amount of $25.00 was deposited in line item #10-1911-08 for the person named
below as a deposit for a sign. They have now returned the sign and are therefore
entitled to the return of their deposit. Please send a check in the amount of $25.00 to:
Maria S. Yost
309 Reynolds Road
Cross Junction, Virginia 22625
HCMF Corporation
2965 Colonnade Drive
Roanoke, Virginia 24018-3541
Kerry J. Poche
261 Glendobbin Road
Winchester, Virginia 22603
Please contact me if you have any questions.
9 North LoUdoUn Strect P.O. Box 601
Winchester, VA 22601 Winchester, VA 22604
COUNTY of FREDERICK
Department of Planning and Development
703 / 665-5651
Fax 703 / 678-0682
January 31, 1994
Maria S. Yost
309 Reynolds Road
Cross Junction, Virginia 22625
Dear Mrs. Yost:
This letter is to confirm action taken by the Frederick County Board of Supervisors at their
meeting of January 26, 1994.
Your conditional use permit, ##012-93, was approved for a cottage occupation for a sign to
advertise your business as a Certified Public Account. This property is located fifteen miles
from Winchester off of North Frederick Pike (Route 522) on Reynolds Road (Route 694), in the
Gainesboro District, and is identified as PIN 06-A-81A.
This use has been approved provided the following conditions are complied with:
1. A change of use permit must be acquired in accordance with the requirements of the
Building Inspections Office.
2. The sign associated with this use must be maintained in accordance with the
Frederick County Code and any applicable State codes.
If you have any questions regarding the conditions placed upon your permit please feel free to
call this office.
Y,
W. Wayne Miller
Zoni h Administrator
WWM/slk
9 North Loudoun Strcet P.O. Box 601
Winchester, VA 22601 Winchester, VA 22604
P/C Review Date: 1/05/94
BOS Review Date: 1/26/94
CONDITIONAL USE PERMIT #012-93
MARIA S. YOST
Cottage Occupation
Certified Public Accountant
LOCATION: Fifteen miles from Winchester on North Frederick Pike
(Route 522), east onto Route 694
MAGISTERIAL DISTRICT: Gainesboro
PROPERTY ID NUMBER 06-A-81A
PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas)
Land use - residential
ADJOINING PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas),
Land use - residential
PROPOSED USE: Cottage Occupation - Certified Public Accountant
REVIEW EVALUATIONS:
Virginia Department of Transportation: No objections to a
conditional use permit for this property. Existing private
entrance is adequate for proposed use. However, should use ever
expand in the future, the entrance may have to be upgraded to
VDOT minimum commercial standards.
Fire Marshal: A cottage occupation of this nature would create
no unusual or undue impacts on fire and rescue resources.
Inspections Department: Building shall comply with the Virginia
Uniform Statewide Building Code and Section 303, Use Group B
(Business) of the BOCA National Building Code/1990. Other codes
that apply are title 28 Code of Federal Regulation, Part 36
Nondiscrimination on the Basis of Disability by Public
Accommodations and in Commercial Facilities. Permit required
shall be change of use on area if visited by the public.
Ll
Page 2
Health Department: The Health Department has no objections to
the proposed conditional use permit. Sewage facility is
adequate and functioning properly as of this date (11-23-93).
Planning Department: Applicant wishes to have a sign in her
yard to locate or advertise her business as a Certified Public
Accountant. Having the sign places her in the realm of the
cottage occupation and therefore a CUP is required. The
proposed use will be low volume with no appreciable increase in
the amount of traffic generated. Most of the applicants' work
would be on consignment. Staff does not envision any problem
with this proposal at this time.
STAFF RECOMMENDATIONS FOR JANUARY 5, 1994 PC MEETING: Approval with
the following conditions:
1. That a change of use permit be acquired in accordance with
the requirements of the Building Inspections Department.
2. That the sign associated with this use be maintained in
accordance with the Frederick County Code and any applicable
state codes..
SUMMARY OF PLANNING COMMISSION ACTION: At their regular meeting on
January 5, 1994, the Commission held a public hearing on this
application. No one appeared to speak either for or against this
application. The Commission had no significant questions and
unanimously recommends approval with the above listed conditions.
PLANNING COMMISSION RECOMMENDATIONS OF JANUARY 5, 1994: Unanimous
approval with the following conditions: (Absent - M. Copenhaver and
R. Carper)
1. That a change of use permit be acquired in accordance with
the requirements of the Building Inspections Department.
2. That the sign associated with this use be maintained in
accordance with the Frederick County Code and any applicable
state codes.
Submittal Deadline
P/C Meeting
BOS Meeting
APPLICATION FOR CONDITIONAL USE PERMIT
FREDERICK COUNTY, VIRGINIA
la Rio /93
1-S-9y
/-2f. -9Y�
1. Applicant (The applicant if the ,/ owner other)
NAME: f"1 s-%'-► S . "q 0 S T
ADDRESS: 301 (Z-L-i%,iowS (Zz Caoss SC-T .yA -.IaloaS
TELEPHONE (-70 3) $ g g- 3 4 e S
2. Please list all owners, occupants, or parties in interest of
the property:
6 fL.0 C. �. A . -%- r'-1
C A a- L- rz>. D A ti _ T O S T C G u4 1 lrD 2� 1
3. The property is located at: (please give exact directions and
include the route number of your road or street)
Saa is r-, %�A's Tv�.N �aST
0114 (LT _ t0 9 4 J \,l -r"yA o N L-z,FT
4. The property has a road frontage of y31.-79 feet and a
depth of -7Co1.59 feet and consists of 5_00 acres.
(Please be exact)
5. The property is owned by (�„����, w,� n.� gQs.T as
evidenced by deed from ��,,,�5 L� t� o r-, �, recorded
(previous owner)
in deed book no. [D 4I on page ao -7 as recorded in the
records of the Clerk of the Circuit Court, County of
Frederick.
6. 14-Digit Property Identification No. ot.00 - oA- 0000 - O8 1 A
Magisterial District Ga„Aisaoruz�
Current Zoning 2 F:k
7. Adjoining Property:
USE ZONING 6� 8 9��j
North (l�s�at►�T��` Rra ��
East
South ,•.,T e 2 ra pEC1g93
West r .of.��lT��� (LA
~`r, pE�
8. The type of use proposed is (consult with the Planning Dept.
before completing)
C0TTrACXt- 0C-CuPr-ATlo nl ( C,grcT\r\Ea �l>c3L�C �GGT�
9. It is proposed that the following buildings will be
constructed: )-J o %-&'%—
10. The following are all of the individuals, firms, or
corporations owning property adjacent to both sides, rear and
in front of (also across street from) the property where
requested use will be conducted. (Continue on back if
necessary.) These people will be notified by mail of this
application: (PLEASE LIST COMPLETE 14-DIGIT NUMBER.)
NAME
joNN 1 L\sa 2�taN
Address
a-7-r (U,1? %-JS
Gczoss S c.-r v,�•
Q-C>
aa�a S
Property
ID# 04., bo - o A- 0 00 0- p o g o
KI M H C L+SC ti
Address
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Property
ID# C�t000- oA-
o000 - 08� Q
2A .► \L W \-1 T � L tL �.
Address
C rc.o s S S c-z- v A
a as co a S
Property
ID# 0 -7no
Address
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Property
ID# o 7 o o- oA -
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Address
Property
ID#
Address
Property
ID#
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N/F BOHRER ESTATE
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\ 254.45 71
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54.29'
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NO.
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050 549 04"
988.49'
101.81,
157.24'
S88040'02"Y - 101.77'
2
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1214.11"
S8m4'04"W - 1S7.130
APPROVED
oar, aC: flc Y(zg�.
HEALTH DEPARTMENT DATE
AFFROVED
SUBDIVISION ADMINISTRATOR DATE
I certify that tho land contained
within the bounds of the redivision
of land shoxn hereon is the same as
that conveyed to James F. Michael
and Linda C. Michael October 31, 1980
ID Deed Book 528'- Pace 5 9.
L.S.
•+�n .1,v,A rllco-;ucx C,)U;1rY. SCr.
In<Irunwn o w,iliuV xaa iodu
--l�d�l c ., D mo on via
and W11 c.,l,lic of acku— uL w j9u��1 lhacoto aan.<� /7•/i'.
a I oj� T.a uuv,.wl by S.,c. Su j4. l of
5334 lsaw bona p� ua a
NQTE1 This redivision survey was prepared
from that certain survey of Section One,
Frank Vhitacre Lots recorded in Deed
Book 528 - PaSe 601 and does not represent
a field survey made by this office.
Redivision
Section One
FRANK W11ITACRE LOTS
Cainesboro Dist., Frederick Co., Virginia
1" a 200' April 17. 1986
. QIYD
11�10MAS A. SHOCKEY;j�S A SHOCKEYFOX 34A MT. FALLS RT. ��WINCHESTER, VA 22601LICENSE) No.1271
SUR400�
12. Additional comments, if any: j-Ar,
I (we), the undersigned, do hereby respectfully make application
and petition the governing body of Frederick County, Virginia to
allow the use described in this application. I understand that the
sign issued to me when this application is submitted must be placed
at the front property line at least seven (7) days prior to the
first public hearing and maintained so as to be visible until after
the Board of Supervisors' public hearing. Your application for a
Conditional Use Permit authorizes any member of the Frederick
County Planning Commission, Board of Supervisors or Planning and
Development Department to inspect your property where the proposed
use will be conducted.
Signature of Applicant
Signature of Owner
Owners' Mailing Address 309 S bZa C„CC,oSS. S�.T JA aat�a S
Owners' Telephone No. g g g- 3 4 g g
TO BE COMPLETED BY ZONING ADMINISTRATOR:
I1012wf 612E
RENEWAL DATE:
n
3
WK
13 V\/ 4
80B
A 3
474-276 1
4A
m 2 0
00
4 m 78 79A
5 A 79 R t.
5 °�a5
Reyr
77 Reynolds Store
75C /
a 75C
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82
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Wesley °tee r e
Chapel � otesr° °°
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16
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18
19
CUP #012-93
Bruce & Maria Yost PIN: 06—A-81 A
1�
0
COUNTY of FREDERICK
Department of Planning and Development
703 / 665-5651
Fax 703 / 678-0682
January 12, 1994
TO THE APPLICANT(S) AND /OR ADJOINING PROPERTY OWNER(S)
The Application of: MARIA S. YOST
Conditional Use Permit #012-93 for a cottage occupation - Certified Public Accountant Business.
This property is located 15 miles north of Winchester on Reynolds Road (Route 694), in the
Gainesboro District, and is identified as PIN 06-A-81A.
This conditional use permit application will be considered by the Frederick County Board of
Supervisors at their meeting of January 26, 1994, at 7:15 p.m., in the board room of the old
Frederick County Courthouse, Winchester, Virginia.
This will be a public hearing and any interested parties having questions or wishing to speak will
be given that opportunity.
Sincerely,
W. Wayn Miller
Zoning Administrator
WWM/dc
9 North Loudoun Street P.O. Box 601
Winchester, VA 22601 Winchester, VA 22604
This is
to certify th the attached
correspondence wa- ailed to the following on
January
12, 1994 fromoe
Department
of Planning and D lopment, Frederick
County,
Virginia:
-- -- -- - - —�--- -----
�_ —
T
06
fCata'Y' ai31'E1.3f.;l:i fO t`9f�t':a:6i Si3
r•'y 8 F�
T OY t:E:;3'Y?(4'Y'!:
:' 01P !: Yt R1\1Cat„.X):43
.PN31AX)
"n. a X?ells
� ::t:�t3 t:if�.X}
('.'; :t:at:39 ..X)NC:•Y':l 0N, VA
WX VA
i...I ti A
VA.
John & Lisa Ryan
277 Reynolds Road
Cross Jiinction, Virignia 226.25
Kim Anderson
RR 1 Box 18
Rockfort, WV 26169
Whitacre, Frank L. & Juanita S,.
34900 Sw 188th Avenue
Homestead F1 33034-4569
{}
i S:I:X)X)L..l:i:'Y'falalP+l, VA
i.
W. Wayne Mil er, Zoning Admin strator
Frederick C unty Dept. of Planning
STATE OF VIRGINIA
COUNTY OF FREDERICK
I, Renee' S. Arlotta , a Notary Public in and for the state and
county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for
the Department of Planning and Development, whose name is signed to the foregoing,
dated January 12, 1994 , has personally appeared before me and
acknowledged the same in my state and county foresaid.
Given under my hand this 12
My commission expires on
day of January
August 31, 1995
1994
1
PLANNING
COUNTY OF FREDERICK
COURTHOUSE COMMONS 2ND FLOOR
P. 0. BOX 601 - 9 NORTH LOUDOUN ST.
• WINCHESTER. VIRGINIA 22601
lkko
A*t�... 06
O� t4D rf toN , K T. M 1.4
,a L..OUDOUN 4:ii'
VA
P
A
Bit
11
COUNTY of FREDER.ICK
Department. of Planning and Development
703 / 665-5651
Fax 703 / 678-0682
December 22, 1993
TO THE APPLICANT(S) AND /OR ADJOINING PROPERTY OWNER(S)
The Application of: MANIA S. YOST
Conditional Use Permit #012-93 for a cottage occupation - Certified Public Accountant Business.
This property is located 15 miles north of Winchester on Reynolds Road (Route 694), in the
Gainesboro District, and is identified as PIN 06-A-81A.
This conditional use permit application will be considered by the Frederick County Planning
Commission at their meeting of January 5, 1994, at 7:00 p.m., in the board room of the old
Frederick County Courthouse, Winchester, Virginia.
This will be a public hearing and any interested parties having questions or wishing to speak will
be given that opportunity.
Sincerely,
l"0
W. Wayne , iller
Zoning Administrator
WWM/dc
9 North LOUdoUn Street P.O. Box 601 .
Winchester, VA 22601 Winchester, VA 22604
•
lJ
COUNTY of FREDERICK
Department of Planning and Development
703 / 665-5651
Fax 703 / 678-0682
December 22, 1993
TO THE APPLICANT(S) AND /OR AD.IOMING PROPERTY OWNER(S)
The Application of: MARIA S. YOST
Conditional Use Permit #012-93 for a cottage occupation - Certified Public Accountant Business.
This property is located 15 miles north of Winchester on Reynolds Road (Route 694), in the
Gainesboro District, and is identified as PIN 06-A-81A.
This conditional use permit application will be considered by the Frederick County Planning
Commission at their meeting of January 5, 1994, at 7:00 p.m., in the board room of the old
Frederick County Courthouse, Winchester, Virginia.
This will be a public hearing and any interested parties having questions or wishing to speak will
be given that opportunity.
Sincerely,
W. Wayne iller
Zoning Administrator
WWM/dc
9 North Loudoun Street P.O. Box 601
Winchester, VA 22601 Winchester, VA 22604
This is to certify thiftthe attached correspondence wadhailed to the following on
December 22, 1993from e Department of Planning and D .Wlopment, Frederick
County. Virginia:
06
YOST", 13RUC:E: A. h MARTA f3.
,. ()9 RE::YNOL.D(:J ROAD
r;F OBS JLJNCTI ON, VA
A EJS.F
M26: "';--
John 4 Lisa Ryan
277 Reynolds Road
Cross Junction, Virignia 22625
06 A AO
F;YAN , .. OHN I) & L.I S)A MA9S:iE::L.L.
HC i I{CJX ZS A. 3
JLJN( TTON, VA
Kim Anders®n L/
RR 1 Box
Rockfort, J�1 �169
p6
A a I
ANDE :F:S0N , K 1:
L.CaLJDCJLJN T
4i�'FiAEEtt.JF'iC:, VA
07
i 9. '. 4
WFIT T'ACI'.E, F'F.ANK L tk JUANTTA
('F�LJS3TE: Z
9 MA' F:S D14, VA R}
; �TIO
cF.(:;E>3jLj
STATE OF VIRGINIA
COUNTY OF FREDERICK
I, Renee' S. Arlotta
07 A
..JONE S , LYNE: T" T'E:
F�'T' 1 BOX 2530
30
HI)DI)LETOWN, VA 22645-
07 A
I:t(71••IRE:R . ROY E T'AITE
C/CJ BF..::1'TY A>HB13N
::t3(3 OLD BEE T HEL R0A- 1)
WjNCF1Ei.91*=.:R, VA
W. Wa ne Mill , Zoning Ad nistrator
Frederick Cou ty Dept. of Planning
, a Notary Public in and for the state and
9 r-
county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for
the Department of Planning and Development, whose name is signed to the foregoing,
dated December 22, 1993 , has personally appeared before me and
acknowledged the same in my state and county foresaid.
Given under my hand this 22 day of December , 1993 .
My commission expires on August 31, 1995
NOT Y PUBL C
9
PLA,, ., � i cw
COUNTY OF FREDERICK
COURTHOUSE COMMONS 2ND FLOOR
P. 0. BOX 601 - 9 NORTH LOUDOUN ST.
WINCHESTER. VIRGINIA 22601
9
WH1 T'AC:F:E. F'F�ANK
31<;� MA13YE:R�3 DR:CVF::
UVZO>~iS ,.IUNCT10N, VA
J p �9
� N !
3 22 DEC
0.2 :I
'. 4
,JUAWETA 6
WHiT31.9 2ebasalwl 'IC92 12/27/43
FORWARDING TIME EXPIRED
WHITACRE
349O1-6 Ski 188 TH AVE
HC ME -STEAD FL 33034 -1569
RETURN TD SENDER
t�ilil�if1111�it1�'IIIi111�1it1��111��1111lt��I�itt��111��111�
0 0
• 0
11. Please use this page for your sketch of the property. Show
proposed and/or existing structures on the property, including
measurements to all property lines.
I 1 4 �•rt,� o� 2�`t l� u D c� T v—t ` 6� u t L-.
•
REQUEST FOR C.U.P. COMMENTS
i
Virginia Department of Transportation �1gg3
Attn: Resident Engineer >,�
P.O. Box 278
Edinburg, Virginia 22824-0278 DYA
(703) 984-4133
The local office of the Transportation Department is located at
1550 Commerce St. in Winchester if you prefer to hand deliver this
f orm .
Applicant's name, address and phone number:
309 rL� tNc�o_s G?�c, CrtcSS jc..-r , vA
Name of development and/or description of the request: /
L.. l3 _ P - % F o g C'i O 77 U CV— U P N L C- . P Ick , -
No 'a G�Ara,4 C
Location:
Cog L4 a r,
Va. Dept. of Transportation Comments:
No objection to conditional use permit for this property. Fisting
PntranrP lC gfJPrnlati- for Trppasetj iigP HnyPVPr, should usp ever P-X=l d
in the future, the entrance may have to be upgraded to VDOT MIMI M
ro m erri al etnndardg
VDOT Signature and Date:
43
(NOTICE TO RESIDENT ENGINEER*PLEASE RETURN THIS FORM TO APPLICANT.)
NOTICE TO APPLICANT
It is your responsibility to complete this form as accurately as
possible in order to assist the agency with their review. Also,
please attach three copies of your plans and/or application form.
0
0
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
`v
Frederick County Fire Marshal - DEW993
ATTN: Fire Marshal RECEIVED
P.O. Box 601 a
c- DEPT. OF p�gNNIN6
Winchester, Virginia 22604 �DD�ypOP1AENL
(703) 665-6350
The Frederick County Fire Marshal is located at 9 North Loudoun
Street, 2nd floor of the Hamm= Building in Winchester, if you
prefer to hand deliver this review form.
Applicant's name, address and phone number:
JGS �co5S JET , vA aa.�a�
Name of development and/or description of the request:
C.•y _P_-.-Qy\2.�--� qua- CGTVryCry (=>C,C.0T�C\J CC.P .-A. )
��A P �-A ,.1 ra � C., 1-1 rA \-A �. Tn �,-3L \ ST \ \-1 `- P- �.S \ Z� z a L, c
Location:
i l0'l4 , f�,PPY- a h,t�L E,-AS"C u1: C,. -IS aa
r:� T ��,`i a o uo S S-ro a- �—
Fire Marshal Comments:
Fire Marshal Signature & Date
(NOTICE TO FIRE MARSHAL - PLEASE RETURN THIS FORM TO APPLICANT.)
NOTICE TO APPLICANT
It is your responsibility to complete this form as accurately as
possible in order to assist the agency with their review. Also,
please attach a copy of your application form, location map and any
other pertinent information.
COUNTY OF FREDERICK, VIRGINIA
FIRE MARSHAL'S OFFICE DEC1993 <
LAND DEVELOPMENT COMMENTS
--
REc-IVED
Control No. 1118931036 Date Received 111893 Date Reviewed 120393
Applicant Name Maria S. Yost
Address 309 Reynolds Road
Cross Junction, VA 22625
Project Name C.U.P.
Phone No. 703-888-3488
Type of Application C.U.P. Current Zoning RA
1st Due Fire Co. 20 1st Due Rescue Co. 20
Election District Gainesboro
RECOMMENDATIONS
Automatic Sprinkler System Residential Sprinkler System X
Automatic Fire Alarm System X Other
Emergency Vehicle Access;
Adequate Inadequate Not Identified X
Fire Lanes Required; Yes No X
Comments
Roadway/Aisleway Widths;
Adequate Inadequate
Special Hazards Noted; Yes
Comments
Not Identified X
►f�.iN
- Continued -
0
Hydrant Locations;
Adequate Inadequate
Siamese Connection Location;
Approved Not Approved
Not Identified X
Not Identified X
Additional Comments: A cottage occupancy of this nature would
create no unusual or undue impacts on fire and rescue resources.
Approved
Re m .
Doug A. Kiracofe
Fire Marshal
REQUEST FOR CONDITIONAL USE PERMIT COMMENTS
EC 1993
Frederick County Inspections Department RECEIVED s
Attn: Building Official DEPT. OF PIANKiNG Q'
P.O. Box 601 AND DEVELOPMENT
Winchester, Virginia 22604
(703) 665-5650
The Frederick County Inspections Department is located at 9 North
Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you
prefer to hand deliver this review.
Applicant's name, address and phone number:
i'r1
2�ra `� . -�0ST
CiC-Is
) % 9 Z - 34g%
3c>
S
A -,;�a.UoaS
Name of
C-u P
development and/or
_ CL�C,� �2�D Fo•`
description of the request:
Gp �Tay� C�GCuPA T ic��J �_C.P.�.
�,AC,
Pk.L.
Location:
i
9---c - c.9 r � P P Lz.,o X a r-, 1 '— O �: Q _ _ S a ;;k \,
YrAT a C, S STD :z Z ,
Inspection Department Comments:
Building shall comply with Virginia Uniform Statewide Building Code and Sec. 303,
Use Group B-Business, of the BOCA National Building Code/1990. Other codes that
apply are title 28 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis
of Disability by Public Accommodations and in Commercial Facilities. Permit required
shall be a change of use on area if visited by the public.
Code Administrator Signature & Date:
(NOTICE TO INSPECTIONS DEPT.*PLEASE 13,9TURN THIS FORM TO APPLI
NOTICE TO APPLICANT
It is your responsibility to complete this form as accurately as
possible in order to assist the agency with their review. Also,
please attach a copy of your application form, location map and all
other pertinent information.
T,�-X JOS - A (I P-) OEM
REQUEST FOR CONDITIONAL USE PERMITS COMMENTS ti tv;3V 1993
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Frederick -Winchester Health Department r � i:.1"
Attn: Sanitation Engineer d' k'N►acbOfes
P.O. Box 2056
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Winchester, Virginia 22604 `9s
(703) 722-3480
The Frederick -Winchester Health Department is located at the
intersection of Smithfield Avenue and Brick Kiln Road, if you
prefer to hand deliver this review form
Applicant's name, address and phone number: p 4
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Name of development and/or description of the request:
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Location:
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Health Department Comments:
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Health Signature and Date:
(NOTICE TO HEALTH DEPT. - PLEASE RE URN THIS FORM TO APPLICANT.)
NOTICE TO APPLICANT 4`61$ 10111_
It is your responsibility to complete this form as accurately as
possible in order to assist the agency with their review. Also,
please attach a copy of your application form, location map and all
other pertinent information.
t��iID��yElppM6�I.