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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: ________________________________________
b.Total acreage of the parcel to be developed: ________________________________________
c.Total disturbed area of the parcel: ________________________________________
d.Present Use: ________________________________________
e.Proposed Use: ________________________________________
f.Magisterial District(s) ________________________________________
-Office Use Only-
Date Application Received: _________________ Application #: __________________
Fees Received: _____________________ Receipt #: __________________ Initials:______________
12/9/25
$500 1478
53-25
KS
9
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 a MDP been approved for this property? Yes ____ No _____
f.If yes provide the MDP number for this property: _______________________________________
9.Adjoining property zoning and use:
USE ZONING
North ______________________ __________________________
East _______________________ __________________________
South ______________________ __________________________
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: _____________________________________________