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Home My WebLink About08-26 Application - Signed12 REZONING APPLICATION FREDERICK COUNTY, VIRGINIA 1. Property Owner(s) (please attach additional page(s) if more than two owners): Name: Specific Contact Person if Other than Above: Address: Telephone: Email: Name: Specific Contact Person if Other than Above: Address: Telephone: Email: 2. Other Interested Parties (such as a contract purchaser) (please attach additional page(s) if necessary): Name: Specific Contact Person if Other than Above: Address: Telephone: Email: 3. Law firm, engineering firm, or other person, if any, serving as the primary contact person for this application: Firm Name: Specific Contact Person at Firm: Address: Submittal Deadline __________ P/C Meeting __________ BOS Meeting __________ 13 Telephone: Email: *Please note that, if a law firm, engineering firm, or other person, other than the owner of the property, will be acting on behalf of the owner and/or executing papers on behalf of the owner in connection with the rezoning, the owner will need to execute a power of attorney form granting the firm or person such authority. 4. Project Name: 5. Property Information: Property Identification Number(s): Total acreage of the parcel(s): Total acreage of the parcel(s) to- be-rezoned: Current zoning designation(s) and acreage(s) in each designation: Proposed zoning designation(s) and acreage(s) in each designation: Magisterial District(s): Location - the property is located at (give street address(es) if assigned or otherwise exact location based on nearest road and distance from nearest intersection, using road names and route numbers): Is this property within ½ miles of the Town of Stephens City, the Town of Middletown, the City of Winchester, Clarke County, or Shenandoah County (specify which): ________________________________________________________________________ 14 Adjoining Properties: Zoning: Use: North: South: East: West: 6. Disclosure of real parties in interest. Virginia Code § 15.2-2289 provides that localities may by ordinance require any applicant for a zoning amendment to make complete disclosure of the equitable ownership of the real estate to be affected including, in the case of corporate ownership, the name of stockholders, officers, and directors, and in any case the names and addresses of all real parties of interest. Frederick County has, by County Code § 165-101.09, adopted such an ordinance. For each business entity that is an owner or contract purchaser of the property, please list the name and address of each person owning an interest in, or who is an officer or director of, any entity that is an owner or contract purchaser of the property (you need not indicate the amount or extent of the ownership interest). Please note that this requirement does not apply to a corporation whose stock is traded on a national or local stock exchange and having more than 500 shareholders. Please attach additional page(s) if necessary. 7. Signature(s): I (we), the undersigned, do hereby respectfully make application and petition the Frederick County Board of Supervisors to amend the zoning ordinance to change the zoning map of Frederick County, Virginia. I (we) authorize Frederick County officials to enter the property for site inspection purposes. I (we) understand that the sign issued when this application is submitted must be placed at the front property line at least seven days prior to the Planning Commission public hearing and the Board of Supervisors public hearing and maintained so as to be visible from the road righlof-way untilthe hearing. I (we) hereby certify that this application and its accompanying materials are true and accurate to the best of my (our) knowledge. ^c)s\, \ ?u2bOwner:e.\fl41. a !Date lf signing on behalf of an entity, please state name of entity and your title: Debra D. Davis, Administrator of the Estate of Montie wood Gibson, Jr. Owner Date lf signing on behalf of an entity, please state name of entity and your title: Other Applicant Party (if any):Date lf signing on behalf of an entity, please state name of entity and your title Daniel McOahan, Manager of MVP Management, LLC, Manager of Real Estate Pursuits LC lf additional signature lines are necessary, such as if more than two people are owners, please use additional copies of this page. *A signed Power of Attorney form is required if someone is signing on the owner(s) behalf. 15 Signatures: I [we), the undersigned, have read the application, understand its intent, and do hereby respectfully make application to and petition the Frederick County Board of Supervisors to amend the Comprehensive Plan. Furthermore, I have the power to authorize and hereby grant permission to Frederick County officials and other authorized government agents on official business to enter the property as necessary to process this application. I [we) hereby certifii that this application and its accompanying materials are true and accurate to the best of my [our) knowledge. Signed this day of Signature of Owner/Applicant Estate of Montie Wood Gibson, Jr., By: Debra D. Davis, Administrator Signed tt i, tt"day of t'4at.l 07b \) Daniel Mccahan, Manager of MVP Management, LLC, Manager of Real Estate Pursuits LCOwner Signed this _ day of Signature of Owner/Applicant If anyone other than the owner is signing, a Power of Attorney mustbe attached. 16 Adjoining Property Owners Owners of property adjoining the land will be notified of the Planning Commission and the Board of Supervisors meetings. For this application, adjoining property is any property abutting the requested property on the side or rear or any property directly across a public right-of-way, a private right-of-way, or a watercourse from the requested property. The applicant is required to obtain the following information on each adjoining property including the parcel identification number. These can be obtained from Frederick County’s GIS Interactive Maps. *The Town of Stephens City, Middletown, the City of Winchester, Clarke County, or Shenandoah County shall be notified if the proposal is within ½ mile of their boundary. Name and Property Identification Number Address Name Property # Name Property # Name Property # Name Property # Name Property # Name Property # Name Property # Name Property # Name 17 Property # Name Property # Name Property # Name Property # Name Property # Name Property # Rezoning Application Supplement 6. Disclosure of Real Properties in Interest. JMP Perpetual Family Trust 4100 Monument Corner Drive, Suite 300 Fairfax, VA 22030 LEP Perpetual Trust 4100 Monument Corner Drive, Suite 300 Fairfax, VA 22030 Peterson 2020 Family Trust 4100 Monument Corner Drive, Suite 300 Fairfax, VA 22030 SBP Perpetual Trust 4100 Monument Corner Drive, Suite 300 Fairfax, VA 22030 WEP Perpetual Trust 4100 Monument Corner Drive, Suite 300 Fairfax, VA 22030 Adjoining Property Owners List Name and Property Identification Number Address Joan G. Hope Property # 87-A-16A 1681 Fairfax Pike White Post, VA 22663 Karl B. Williams Property # 87-A-16D 1679 Fairfax Pike White Post, VA 22663 Justin Green Brittin and Kelly Michelle Brittin Property # 87-4-5 208 Wrights Run Lane White Post, VA 22663 Donald J. Ashley and Sue J. Ashley Property # 87-4-6 352 Wrights Run Lane White Post, VA 22663 Randy Loker and Jessie Loker Property # 87-4-11 353 Wrights Run Lane White Post, VA 22663 EIP Winchester Owner LLC Property # 76-A-53G Attn: Home Depot Prop Tax Dept 5362 P.O. Box 105842 Atlanta, GA 30348 Brooke George and Kaleigh Wood Property # 87-A-31 10200 NE 144th Street Jones, OK 73049 Jose J. Rodriguez Property # 87-A-53 3260 Front Royal Pike Winchester, VA 22602 L F Franklin & Sons Inc. Property # 87-A-80 c/o W-L Construction & Paving P.O. Box 55038 Lexington, KY 40555 Bautista Minerva Hernandez Property # 87-A-85C and 87-A-85D 1824 26th Avenue East Bradenton, FL 34208 Madan K. Thapa, et al. Property # 87-A-86 and 87-A-87 3508 Front Royal Pike Winchester, VA 22602 Patricia McKinney Property # 87-A-96 531 N. Washington Street Falls Church, VA 22046 Larry Allen Sexton Property # 87-A-88 3636 Front Royal Pike Winchester, VA 22602 Royston Eshelman Properties Property # 87-3-B1 P.O. Box 221 White Post, VA 22663 SEJ Asset Management & Investment Co Property # 87-A-108 c/o 7-Eleven Inc One Arts Plaza 1722 Routh Street, Suite 1000 Dallas, TX 75201 Gary W. & Sharon R. McDonald Property # 87-A-90 514 Clark Road Stephens City, VA 22655 Wendi G. Simmons and Steve D. Simmons Property # 87-A-91 2154 Fairfax Pike White Post, VA 22663 Shawn Joseph Britton Property # 87-A-93 2142 Fairfax Pike White Post, VA 22663 Montie Gibson, Jr. Property # 87-3-A P.O. Box 187 White Post, VA 22663 Sandy’s MHC LLC Property # 87-A-95 c/o The Carlyle Group 9073 Nemo Street West Hollywood, CA 90069 Fairfax Pike LLC Property # 87-A-95A and 87-A-95C 225 Caldwell Lane Winchester, VA 22602 Hasnaa Ahmed Abdelnaby Property # 87-2-3A 1998 Fairfax Pike White Post, VA 22663 Van Metre Homes at Lake Frederick LLC Property # 87-A-102 9900 Main Street, Suite 500 Fairfax, VA 22031 Frederick County Sanitation Authority d/b/a Frederick Water Property # 87-A-102A P.O. Box 1877 Winchester, VA 22604 Madison II LLC Property # 87-A-15 558 Bennys Beach Road Front Royal, VA 22630 Royston Eshelman Properties Property # 27A-A-9 (Clarke County) P.O. Box 221 White Post, VA 22663