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HomeMy WebLinkAbout14-95 HFG Partnership Back Creek - Backfilefir OF *'STAFF SUBDIVISION CHECKLIST SUBMISSION PACKAGE 1. Comment sheets from the following agencies, along with any marked copies of the plan: V/VDOT City of Winchester Sanitation Authority Health Department Inspections Department Parks & Recreation t' Fire Marshal County Engineer One copy of the subdivision application 15 copies of the plan on a single sheet i� One reproducible copy of the plan (if required) A 35mm. slide of the plan DATES STAFF TRACKING )11 U Application received. Ilit, Fee paid. (amount $ Info entered in dBase (upon submittal) (after approval) Subdivision heard by Planning Commission. Action takenaaw,�ML (MDP# if applicable ) A/A_ Subdivision heard by Board of Supervisors. Action taken 1-q % Preliminary approval letter to applicant/agent H% Preliminary approval letter to applicant Final plat submitted with review agency signatures and; deed of dedication bond estimate $ �-s•Q� Plat signed by Planning Director Plat signed by Subdivision Administrator House numbering assigned M U Received From Address For AMT. OF -_ ACCOUNT AMT. PAID BALANCE DUE Date 19 0 0 2 9 Dollars $ HOW PAID, Ld CASH CHECK MONEY ORDER By as of R a FoR 5Ut3pIV151oN1 AND 1-OTAGONSoLIW1q� �1574 oP THB LANDS OF 154TTI-EFI E Lt7 M KrN ER514 l P A N P H. F. G. PA RTN E Fmk 1 P BACK CROOK DISTRIC-T- FIZEDBRIGK Goe,1NTY, VIizGIN1A ooToDS►s IZ, I"�96 "of'.40141 fT. RTa. 37 1T1L V101WITY MAP S<.ALE:: 1�� • z000 OWNEIZ'T+GE.ICTl PIGATC . THE A040VO AND Fo1cOSsQIMC, SUBDIVISION AMP CONrsOL.IpATION OF THE LAND OF ISAT-P-0Ffftw P211�THEWHIP AHD H.F•0. PARTNEfAiHIP, AS APPEAF9f OHTHB A4cc7M - PANYING PLAT, "WITH THIS FREE COHSE`NT AND IN ACG•aZOMNGB WITH THE POSI2CS-P&THS UN964ZSIGNE4 4PV414 :Fa5' PpoPRICTo(ZS AND TRU4TEES, IF AN'(, / / .. 0E19TIF14ATC Or ACKNOWL-5CP&LmMCNT 4+TT`140UNTY OF 6oMMONWOAJ-TlH OP VIMrpIN1A , To WIT' "P.. F NSF--G�1'q E T WASB KNo pg APO E MIS TH IvMiA�/ N -TA Y P/}�,��¢.(y. 1 b, MYGGMMIS4/ON EXPIRe'y r"�•"•',17=},-- *UICVGYOR'S CO TIFICATS 1 NOR910Y 4E1eT11rY THAT TNf LAND CONTAWbD IN THIS SUBDIVIS/or AND G0140O1.IPATI00`4 14A rORTION Of THE LAND CONVEYCD TO 5ATTLCPIELG PAFRT- NGR9HIP BY DEED DATED f•Et3RUARY ZS, 1785 AND RECORDED IN TH5 PRPPM" GOUNTY GOURTGLEWC-S oFFIG6 IN DEeD BOOK 57o AT PAGE 411 AND A FWA'nvN OIL THE LAND CONVCiep -TD H.F.G. PAaTNCRSHIP 13y DECD n4T&P SEPTEMBGR Z3, 19" AMP P-640FLPep IN AD-46 SAID coUezT GI-CWL-S OpFIGO IN POOP BOOK "2- AT PAGE Ga.B, H. BICUGE E.DSNS. L.S. APINtvVA W9 . FR..; -, 'R, 'lAN17 O YTMOO�T �7 J� � Y.. . RRUCE OfJ VA. 06", 00 TX^"MR.TATION pq GREENWAY, INC. "";o°;;'�` wo Bake Leper, WMlalna1w. VkgWo 22603 st 0-662-4166 �,� � �, SURVEYING pee► Edens L.S. - P►nldanl g�vfe.� IN D9SIGNING = PLANNING . A6MC. AL - Comma" - d. 7-D.O. rc i6o I 1.7 to 2oNe •. B_ a, o B PG. 4y us6' GOMM i 2-NC: P--A 19854PG 1575 N3S' ,y E.oy17^� � �TT4-GFIE 37'4 �� tab Io2. �j7• N 3fa• 3'7--+ E PA aTNela•sHIP ^GRE PXoPE1zTY'/..INe / Wob•- N To Be PC1.-F-TEp 0 .t �•X zs' C �A�N.�6C • • N T^x iVii�iQ �6.664.R3.76°! (� 75-3- III 011w DZo�� moo. Iso n Ne: Ps•z .' r USE: GOMM S 35 19'47" H.F.G. 1'ARTNEpSHIR' r To7-AI— ✓ \ w N PA�e1 1e r APLMA, I �TAINEG PorsTioN � I J 7 3oe. AGREq 4I Z. Z3 a. s. coZ, po vas — gFi—xj 2oN 2oN G : B• Z. SU L"KY DiZ useeco / --- ----- ---- : —n--- so• FL /w --- — — EX.Io'G.14L�NE r E 4h,�•T �. v.s.�i,rcliss N N el N Z li n M H.F.G. PAPWjgppL 1 N 1-oT IS �hlllo IW D.B. (M�L.PG.47o 2.GojZ ,AGRgS �: 20Nd:ss•s (" uSe: tsw.lM. N . le TAlSU[.ATIoNI �T�T�os��TE �V �TYLeR/G Lb rA2TN R'', 43, R• �` I elas►+1►.... J N.R.G. /ARTLIGRfHIr„ ..O. OS1 AGpaH TfrAl- AMR, .... 2. i92 AGI[Igg Z• 7a Ac�estg No. 1 : NATes ^40uq eze ee " %I OD•o+. aos• 3o ate° 8R I�NT $QBSTre1�T1oN s.l�:es a.* %!f.so ss, eitc;pe p. n• TANOeiI l=oI Z. 271, s/ SXC'AIG. p GHoRp !w• _ Iel � 21. y 1"W N�•4o�17.re Otoo Folq `,LIBCIV151ory AMC, Se-ALa IN reel 1.0 MANbar-IEI-p ��1NoTN�oNSoLIpAT1oN=ail H.F. PARHlp ,�� O t�.tcK BECK A/9Tlt►GT G K de Klc E H I p SCALE ' 1 loo' LINTY ')ATE: I vl�IN1 �� T�BFL IZ. IV V 97G awwr �REENWAYI INC. MLOW1aa•a B�MEd@ voo L S,o P?isla.m 0'862-4180 e,� %2�9 SURVEYING - DESIGNING - 'AL ' A�U�URAL • PLANNING COMMERCIAL MITRIAL • CCWSTNUCTIM SHEET 2- o/ Z VIRCINIA: FREDERICK COUNTY• W� T. to Instrument wN ro 1 with emin41tA a �dmltMd tor�oo y� sto OrMed was • , CLERK :' --�� -13X. s.• sA N. SGw. eSM•T. `— Nl5.17�47„ � F 1 NA L ' "19LAT FoFz 5'U5i2I /I'iIoN AND I-OT GONSOLIt7ATldf� o F= T H E L-A N f7ri of MATTLEF1 1!!. L.- 7 IAA IzTN ER5H t P A N D !-I • F. G. PA FzTN EFL H t P BACK GCZEBK pI5TF21GT- F=FZEpERIGK GOUNT�, �/iRGtN(A oG•ToL'SEtz. Iz., I�'�6 5T. IZTE. G'r� ST. IZTF-. 37 R.oU T E I I E yu Lrc owvE 14--I N IT`r M A P OWNER'�i GF-RTIFIGAT� THE ABOVE AMP FOREGOING SU9C7IVI17IoN ANP CON-iOL(pATION of THE LANc7 of BATTL.EFIELr';;' PArzTNEF2!5HIP ANP H.F.G. PAIZ7NeSZ4-tIP) A5, APPEARS vNTHE ALGOM - PAN`(ING PLAT IS WITH THE FREE GoNSENT ANt7 IN AGG�oFZpANGE WITH THE DESIRES O THE UNPEFZSIGNE oWNEj=zS f-1-PFZIET4>Fz5 AN17 TFzUSTEES, IF AHY. 6;E12T1 FIG,A7a OF ACKHOWLE[7GEMENT 0rr'f4/GoUNTY OF FA Cl" IGK GoMMONWEA4-TH OF V(fzG(NIA I TO WIT THE FoF2EG0ING V--t-.tMFHT�WAS AGKNoWLEDC5Ep BEF/OKE. t-AE THIS bAY OF - --dIoUwf MY -t'tk'� NoPAR`( Ptl�d,,�L�IG M`rGOMMi�s�iION EXIRES ��-�G.G I'� �� �17�� ,q�(Jaye-YoIZ'S GE12TIFI6,'ATE I HEFZEBY GEIZTfFY THAT THE LAND CONTAINED IN 71-4(5 SUBt7(V1I ifoN AND GONriol--lPATfON I5 A PePMTIoN OP THE LAND GONvEYEP TO BATTL,EF(EL.P PAfzT- NEFR`iHIP B'( DEEP PATEb FEl3FZUAFzY Z6, ANp IZF�dRDC--p IN THE FREDEWGK GO(UNTY OAURTGLEFZ-FC'5 oFF(GE tH PF-eP 006>1< 5S)- AT PAGE 411 ANp A POFZTIOH of THE LAND GoNVEYED 7o H.F.G. PA;7-TNER-5Hif- i3Y pEe�P C>ATED-,eF-M(vfBE1Z Z3, l9e e, ANP ReG F--PEP IN A125-VE SAIP GOUFZT GLrEtzIG`5 OFFICE IN peep E5cic>K 6oZ AT PAGE &Cz a . H. t3FZUGE EpENS, I_.S. NOTES Apt'FzoVA Lei /,? /Y-��S FFtEPERIGK A IT T AUTHocz1Ty 400 pL IN Or..iMr9 s1oN f,7i� � Q� � yr fv a 1N11i FZA oFt- B 6% VA. Df;PT. OF TF'ANSF°b2iATION GATE GREENWAY, INC. 970 Baker Lane, Winchester, Virginia 22603 C-662-4195 H. Bruce Edens, L.S. - President SURF SURVEYING - DESIGNING - PLANNING SHEET I Of Z RESIDENTIAL • AGRICULTURAL • COMMERCIAL •- INDUSTRIAL • CONSTRUCTION PA FZ L- 4 �- 0 7 1 e- D 10o I D.B. lo7 �J, PG' (07 ZoNa: F3--2- USE GOMM . I USE M . N Ste{-' ZZ ' 17 " Vv 95ATTI-E F I E (-D I F,^ R•-TH EPA H I I- N 35'37'4311E H 36�37'-43"E o.031 AGFRE IoZ.37' i(o(o.36' 4V Qom. P� f QV �99 H • F. G . PARTN EF=9F,4a I P PA FRGB I- 115 t2ETAINED PoRTioN � I I 7.30& AGFzES .} zvN e-- l.iSt: ax. I (S-AS L I N E - F 5M' T• D B. 661, PG . I zS N 0 7- P 11-I E 0 ?o BE DE1•-ETED r pr�g1NAGE � I N L-oT IZ T. p.6.664. PG.7S3 I D. 6GS . 7V0, P. 1 o TAX "A � z o H e : t5- �- /5_3- III r USE'.GOMM, N ToTA ►- ✓ o A MEE- A = ' Z. '7 z 3 I S U L �-( 17wtl va Z1otge'. —__-- 2— EX. Zo' SAH. sew. es1N'T. �-o T 15 D.$. to-PZ. PG..�¢�o H. F. G • PA FL7-H a r.?-,;-H l i---' ( W ZoN E : B• 2 Z.&`�>Z AGR-eS LIIS, E:eep#A N N 0 37" vV ----- ZQ- 7¢ ' IP N I N7MP-5; TA7a �vv7e SI AIZEATA15UL-ATIcON �LIMITED.IGGE55 '/A21AE3j-r- plVq IAA7-fL6F1CLo PAFLTHe42SI41P.... o. 031 AC-IZE H.F.G. PARTNERriHIP............... Z. ao7Z AGFtE5 TOTAL AIzEA .. . ... . ... . .... . Z. -7 Z 3 AC-CzES GUEzVE t7ATA [7Et-TA erIIn Zsz- 38 zl!>" FXADIUIF ZG. oo' Zg, oo' S5. oo' ARe- ZZ.3'!'> 271. 31 ' TA►JGEN I:z.oI' 11Z.ol' GHolzp &4� zl"W zi H ov'-+0 I,+ e 1 21. G3' NoTEs BU II-171NG fZES71216-TI4PN LINES FrP--NT ' 3S' slue = o' w-EA FZ D I oo Zoo SGALE 1N FEET F-INAL- PLAT FvR St_It3p1Vloi ION AHd I-oT GoNSpLIpATIr->N OF THE LANpS of gA--aFlal-P FAFZTt4lF-IZ9HIF AMd H.F.G. PAFr-THeFz5HIP $AGK GREGK I715TFz1GT- FREDEFZIGK GouNT� VIRGIN IA SCALE : I " = Ioo' DATE : oGT�aEri 1 z, I��S GREENWAY, INC. 970 Baker Lane, Winchester, Virginia 22603 5q-o-662-4185 H. Bruce Edens, L.S. - President SURVEYING - DESIGNING - PLANNING IDENTIAL • AGRICULTURAL • COMMERCIAL • INDUSTRIAL • CONSTRUCTION y �BRUWEO�DVEWS No. 000162-8 SHEET 7- of z 1% January 4, 1996 Greenway, Inc. Attn: Bruce Edens 970 Baker Lane Winchester, VA 22603 COUNTY of FREDERICK Department of Planning and Development 540/665-5651 FAX: 540/ 678-0682 RE: SUBDIVISION #014-95 OF HFG PARTNERSHIP P.I.N. 75-A-11B Dear Mr. Edens: This letter is to confirm the action taken by the Frederick County Planning Commission at their meeting of January 3, 1996. Your Subdivision application #014-95 for HFG Partnership, has been unanimously approved by the Planning Commission. Final administrative approval will be contingent upon submission of a plat with Virginia Department of Transportation and Sanitation Authority signatures. If you have any questions regarding the approval of this subdivision, please feel free to call this office. W. VVayne Miller Zone g Administrator cc: Ralph Gregory WWM/bah 107 North Kent Street - Winchester, Virginia 22601-5000 PC REVIEW: 12/16/95 SUBDIVISION APPLICATION #014-95 HFG PARTNERSHIP LOCATION: The directions to this property are as follows: Travel on Valley Avenue (Route 11 South), turn left onto Marathon Drive, and proceed until you intersect Sulky Drive. Turn right on Sulky Drive and proceed to cul-de-sac where property is located. MAGISTERIAL DISTRICT: Back Creek PROPERTY ID NUMBER: 75-A-11B PROPERTY ZONING & PRESENT USE: B2 (Business General); Land Use: Vacant ADJOINING PROPERTY ZONING & USE: MI (Light Industrial); Land Use: Vacant and B2 (Business General). SUBDIVISION SPECIFICS: Subdivision of a 10.031 acre tract that contains 7.308 acres of M1 and 2.692 acres of B2 zoned land. This plat also adjusts the boundary of a divided B2 lot to add .031 acres of adjoining B2 to this lot. REVIEW AGENCY COMMENTS: Dcpartment of Transportation: No objection to the subdivision of this property. The section of street (Sulky Drive) which fronts the property is not currently in the State's Secondary System. However, all entrance design and drainage features must meet VDOT requirements, if the street is to be eligible for acceptance. A complete set of site plans will be required for review prior to development. Sanitation Authority: Water and sewer lines are installed. Plats are ok. Page 2 HFG Partnership Subdivision #014-95 Fire Marshal: Recommend approval. Inspections Dent: Future structures shall comply with the Virginia Uniform Statewide Building Code and shall comment at the time of building site plan review. City of Winchester: No comment. Coun . Engineer: Define the width of the drainage easement running from north to south from the end of the cul-de-sac. A formal resubmittal will not be required. However, we would appreciate a revised copy for our records. Soil and Water Conservation: Site location indicated down slope drainage will be adequately handled. Planning and Zonings. There is an approved master plan for this property and this proposed subdivision is in conformance with that plan. STAFF RECOMMENDATION FOR 1/3/96 MTG: Approval as presented. APPLICATION AND CHECKLIST SUBDIVISION FREDERICK COUNTY VIRGINIA Date: Appli ation # C �� 1� rj.�j Fee Paid Applicant/Agent: Address: &Z57- Phone: D �J� S� Owners name: Address: Phone: g� 9 Please list names of all owners, principals and /or majority stockholders: �in�� 100G r' RECEIVED Z Contact Person: !s �, /' EPt. OF PIANNina v, Allrlcl MR Phone: �` , Name of Subdivision: Number of Lots Total Acreage�,3 f _ > ii -* Property Location: t+11 '-'5- '�W, (Give State Rt.,; name, distance and direction from intersection) Magisterial District ;i iw Property Identification Number (PIN)J-1,-000,4 0006000edd6V 8 Property zoning and present use: Adjoining property zoning and use: A ! — A 2- Has a Master Development Plan been submitted for this project? Yes VNo If yes, has the final MDP been approved by the Board of Supervisors? Yes No What was the MDP title? 23 477//45 eI-C , iOEV Does the plat contain any changes from the approved MDP? Yes No tl' If yes, specify what changes: Minimum Lot Size (smallest lot) 2, !� Number and types of housing units in this development: Number Types 0 9 NOVIO OEPt OV RANN'NCi Am W.E REQUEST FOR SUBDIVISION COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (540) 984-4133 The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: ZY Name of development development and/or description ofthethe request: l��L./GGri 5���55 /; . — /O 54i(.4!/ic% /� ! 9/S /iQiZ�`C Location: A,W, // - 6'1t�, Va. Dept. of Transportation Comments: No objection to the subdivision of this property. The section of street (Sulky Drive) which fronts the DroDerty is not currently in the State's Secondary System. However, all entrance design and drainage features must meet VDOT reauirements if the street is to be eli-aible for acceDtance. A complete set of site plans will be required for review prior to development. VDOT Signature and Date:(-�r,,?4 A )/ (NOTICE TO RESIDENT ENGINEER*PLEASE RETU HIS FORM TO APPLICANT.) xc: Mr. Steve A. Melnikoff 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. Frederick County Sanitation Authority Attn: Engineer Director P.O. Box 618 Winchester, Virginia 22604 (540) 665-5690 The Frederick County Sanitation Authority is located at 199 Front Royal Pike in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: Z zG 5 S— Name of development and/or description of the request: Z,Q0,71,-- God Z14S ,,O�ss ;7�- Sy�4�vi�E ,2 , 9 /s 0 TWA Location: 5 4 3 Sanitation Authority Comments: Q /W 0 W1995 Sanitation Authority Signature & Date: (NOTICE TO SANITATION AUTHORITY * RN THIS FORM TO APPLICANT.) OCP Aj 9f 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. REQUEST FOR SUBDIVISION COMMENTS Frederick County Inspections Department Attn: Building Official ©rl Winchester, Virginia 2Q26r6-' (540) 665-5650 "2: � The Frederick County Inspections Department is located at 107 North Kent Street, 4th Floor of the County Administration Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: d cc ,?- 0,4!� S-S- Name of development and/or description of the request: Location: SeYG�,y P;,- � e?Al e, Inspection Department Comments: Future structures shall comply with the Virginia Uniform Statewide Building Code and shall comment at the time of building site plan review. Code Administrator Signature & Date: 3! 195— (NOTICE TO INSPECTIONS DEFT.*PLEASE U N THIS FORM TO AP CANT.) 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. /' /!-e ,0, 4irl COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 1102952930 Date Received 102495 Date Reviewed 110295 Applicant Ralph S. Gregory Address P.O. Box 520 Stephens City, Virginia wesv Project Name Battlefield Partnership Phone No. 540-869-3500 Type of Application Subdivision Current Zoning B-2 1st Due Fire Co. 11 1st Due Rescue Co. 11 Election DistrictBack Creek Tax I.D. No. RECOMMENDATIONS Automatic Sprinkler System XX Residential Sprinkler System Automatic Fire Alarm System XX Other REQUIREMENTS Emergency Vehicle Access Adequate XX Inadequate Not Identified Fire Lanes Required Yes XX No Comments Will address firelane requirements on site plan as submitted Roadway/Aisleway Widths Adequate XX Inadequate Not Identified Special Hazards Noted Yes iTu XX Comments Hydrant Locations Adequate Inadequate Not IdentifiedXX Siamese Location Adequate Inadequate Not Identified XX Additional Comments Attached? Yes No XX Plan Approval Recommended? Yes XX No Signaturd / TitIe,,;e--e dio.�-w®x -1-1- EQUEST-FO-R SUBDIVISION COMMENTS CITY OF WINCHESTER Attn: Planning Director 15 North Cameron St. Winchester, Virginia 22601 (540) 667-1815 The City of Winchester Planning Dept. is located in Rouss City Hall at 15 North Cameron St. in Winchester, if you prefer to hand de iver this form. Ap licant's name, address and phone number: A z& '5 , Name of development and/or description of the request: Location: Ar// .5 YJ 37 � 144V ";';� ee��el) #ri, G City of Winchester Comments: S 6 %8 Director Signature and Dat (NOTICE TO DIRECTOR * PLEA TO N0005 It is your responsibility to complete the"form as accurately as possible in order to assist the agency with their review. Please also attach a copy of your application form, location map, proffer statement, impact analysis, and all other pertinent information. REQUEST FOR SUBDIVISION COMMENTS Frederick County Public Works Department Attn: Director of Public Works/Engineering Winchester, Virginia 2Q***- (540) 665-5641 22�� The Frederick County Engineering Department is located at 107 North Kent Street, 4th Floor of the County Administration Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: '400 Name of development and/or description of the request: Location: 1 51 Engineers Comments: Mum§� s Engineers Signatx!ete & Date:_ (NOTICE TO ENGINEERING DEPT. M Aelal, e S FOM4 TC 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 two copies of your plans and/or application form. 11 11/02/95 12:47 V1 540 722 2776 LFSWCD �dd1 RLQUEST FOR SUBDIVISION COMMENTS LORD FAIRFAX SOIL & WATER CONSERVATION 11STRI T 2045-D Valley Avenue Winchester, Va. 22601 (540) 562-3312 The Soil and water Conservation Office is located,at 2 45-B Valley Ave in Winchester, if you prefer to hand deliver this 'eview form. .Applicant's name, address and phone number: Name of development and/or description of the Location: S �✓ �didic "'T.. , �, Signature & Date. VJA1Wa4 v, - / r � (NOTICE -- PLEASE TURN MS FORM E APPLICANT.)' A NOTICE TO APPLICANT it is your responsibility to complete this form as accurately as possible in order to assist the agency with theirreview. Also, please attach a copy of your plans and/or appl-i ation form. ,j I Gre9crY's INC. TEL Dec ,95 10:43 P.01 .. ............. . .. ..........................a.1..iar�i �L. Yr..�.., ........_...r..w. .r......................._..... .. .�: December 29, 1995 Mr. Evan Wya t t Fred. Co. Planning Comm. Winchester, Va. 22601 PAX: 678-0682 Please table the subdivision request of H4?.G. Partnership, slated for the January 3, 1996 meeting of the planning commission. Ralph S. Gregory G.I.S. WORK ORDER Department of Planning & Development GIS 9 North Loudoun Street Wes, VA =1 -J � '703-665-56�'1 The toUowiag information needs to be supplied to request production of mapper or graphics Prom the eat- DATE DEPA MMENT-- CONTACT• Ir� PHONE: DESCREMON OF PROJECT:, REQUESTED C0112=ON DATE: r-7 c — For Ptanaing Department Use — o �dc.a� Materials & Supplie c Keep in Storage? Yes No Total Tune Spent on Project: Comments: Public Use Fee 01 #014-95 SUBDIVISION APMVW HF'G PARTNERSHIP BACK CREEK