HomeMy WebLinkAbout05-07 ApplicationAPPLICATION FOR APPEAL
IN THE
COUNTY OF FREDERICK, VIRGINIA
MUST BE TYPED OR FILLED OUT IN INK - PLEASE PRINT
1. The applicant is the owner vl�' other . (Check one)
2. APPLICANT: OCCUPANT: (if different)
NAME: 6c 1 U c - 0 - NAME:
ADDRESS LEI �rz %n P.i D KGB. ADDRESS:
3. The property is located at (give exact directions and include State Route numbers):
' Alor
TELEPHONE: a_y6 - o2y`J - ,� 2 - 6 . 3 TELEPHONE:
14 n L'be6kr �'�a 2ct [003
4. Magisterial District:
5. Property Identification No.: 12 9 - fi —4� 3
0
0
6. The existing zoning of the property is: /\-
7. The existing use of the property is:
8. Adjoining Property:
USE ZONING n / � —�-
North � X CC'PT 41 /Ours S 10
re
East AlUT
South
West
9. Describe the decision being appealed. (Attach a copy of the written decision.)
10. Describe the basis of the appeal, indicating your reason(s) for disagreeingl with the decision.
(This may be provided on separate sheet.)
11. Additional comments, if any:
0
12. The following names and addresses are all of the individuals, firms, or corporations owning
property adjacent to the property for which the appeal is being sought, including properties at the
sides, rear, and in front of (across street from) the subject property. (Use additional pages if
necessary.) These people will be notified by mail of this application: (Please list Property
Identification Number
NAME
Address
Property ID # v2 O- A — 66
Address
Property ID #
Address
Property ID # _Iq -\ j
Address
Property ID # - — ZIp &
Address
Property ID # a q - A' (v S
Address
Property ID #
Address
Property ID #
Address
Property ID #
Address
Property ID #
Address
Property ID #
Address
Property ID #
0 0
AGREEMENT
APPEAL # OJ 'D
I (we), the undersigned, do hereby respectfully petition the Frederick County Board of Zoning
Appeals (BZA) to overrule the administrative interpretation of the County Zoning Ordinance as
described herein. I agree to comply with any conditions required by the BZA.
I authorize the members of the BZA and Frederick County officials to go upon the property
for site inspection purposes.
I hereby certify that all of the statements and information contained herein are, to the best of
my knowledge, true.
SIGNATURE OF APPLICANT .( /(f�� DATE 7 ��
SIGNATURE OF OWN
` �� DATE
(if other than applicant)
- OFFICE USE ONLY-
BZA PUBLIC HEARING OF r i s 7 ACTION:
DATE-
APPEAL OVERRULED
APPEAL SUSTAINED SIGNED:
BZA CHAIRMAN
DATE:
File. O \Land Use ApplicationsWpplication Fo m idsPPEAL
Revised 01114103
Special Limited Power of Attorney
County of Frederick, Virginias-; 2 g HqA
Planning Office, County of Frederick, Virginia, 107 North Kent Street, Winchester, Virginia 22601
Phone 540- 665 -5651
Facsimile 540- 665 -6395
Know All Men By These Presents: That I
(Name)
(Phone) 5 ;� 9 P 7t
(Address) ) 00 � 1 �./ 01 d r4L.;l
the owner(s) of all those tracts or parcels of land ("P operty ") conveyed to me (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Be 5 ,WJ ,
Instrument No. Av $a I on Page Mq 9 , and is described as
Parcel: Lot: Block: �03 Section: _Subdivision:
do hereby make, constitute and appoint:
/ y . 4 n '2✓ o1- n
(Name) /� �/� _ (Phone) Y6 L ✓��O q 9 - 76
fL1 ctL a Ion PM ss�dn Lv (�o Q" 9 �//�/�
(Address) )de) 5f"lol'kd P ert) ni Y7/ , o� � J
To act as my true and lawful attomey -m -fact for and in my (our) name, place and stead with full power and
authority I (we) would have if acting personally to file planning applications for my (our) above described
Property, including:
❑ Rezoning (Including proffers)
❑ Conditional Use Permits
• Master Development Plan (Preliminary and Final)
• Subdivision
• Site Plan
My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to
previously approved proffered conditions except as follows:
This authorization shall expire one year from the day it is signed, or until it is otherwise rescinded or
modified.
In witness thereof, I (we) have hereto set my (our) hand
Signature(s)
thisak5 day of J j� e 200 7,
State of Virginia, City /County of T6 -wit:
I, AllcG a. 1�eri n E* _ , a Notary Public in and for the jurisdiction aforesaid, certify that the person(s)
who signed to the foregoing instrument and'who is (are) known to me, personally appe ed before me
and has acknowledged the same before me in. the jurisdiction aforesaid is A67lday of 200 .
,
My Commi �q RR IS F_X,�i;'GS '1 f3 ; 1 1 03
Notary Public U - -
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