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SITE PLAN APPLICATION
1.Project Title: _______________________________________________________________
2.Project Description: ___________________________________________________________
__________________________________________________________________________
3.Location of Property: _____________ ____________________________________________________
(Street Address): _________________ ___________________________________________________
___________________________________________________________________________________
4.Applicant/Designer:
Name: _____________________________ Telephone: ___________________
Primary Point of Contact: ________________________ Email: ___________________
Address: _______________________________________________________________
5.Property Owner (if different than above):
Name: _____________________________ Telephone: ___________________
Address: ______________________________________________________________
6.Property Information:
a.Property Identification Number(s): ________________________________________
b.Total acreage of the parcel to be developed: ________________________________________
c.Total disturbed area of the parcel: ________________________________________
d.Present Use(s): ________________________________________
e.Proposed Use(s): ________________________________________
f.Magisterial District(s) ________________________________________
- Office Use Only-
Date Application Received: _________________ Application #: __________________
Fees Received: _____________________ Receipt #: __________________ Initials:______________
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7.Site Plan Type:
a. Is this an original or new site plan? Yes: ____ No: ____
b. Is this a revised site plan? Yes: ____ No: ___
If yes provide all previous site plan numbers: ___________________________________________
c.Is this a minor site plan? Yes: ____ No: ____
If yes, provide all previous site plan numbers: ______________________________________
8.Zoning Information:
a.Current Zoning: _____________________________________
b.Was this property Rezoned? Yes: ____ No: ____
c.If yes provide the rezoning number for this property: ____________________________________
d.Are there any proffers for this property?Yes: ____ No: ____
e.Has an MDP been approved for this property? Yes: ____ No: ____
f.If yes provide the MDP number for this property: _______________________________________
9.Adjoining property zoning and use:
Zoning: Use:
North:
South:
East:
West:
I have read the material included in this package and understand what is required by the Frederick County
Planning Department. I also understand that all required material will be complete prior to the submission of
my site plan.
Signature: _______________________________________________
Name (Printed): ___________________________________________
Date: _____________________________________________________
*A signed Power of Attorney form is required if someone is signing on the owner(s) behalf.