HomeMy WebLinkAbout21-26 Application8
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) ________________________________________
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.