HomeMy WebLinkAbout03-10 Application• •
SITE PLAN APPLICATION
1. Project Title: V� rl 2 0✓1 421 KEI—Eds- —�z 9g 41447TV 44°<
2. Location of Property 3175- ` l )LL lu o0 p fj kc
(street address) �V1 NC IfFSTFP_, V4
3. Property Owner:
Address:
Telephone:
4. Applicant /Agent
Address
5.
Telephone:
Designer:
Address:
Telephone:
Contact:
30i- 283 - y0,5 -,5r
�,x2etv
910 -'17'1 -90a/
J U/ 1`ie 5-05
7—ows �JD 2.126&
6
0
6&. Is this a standard or'minor' site plan?
6b. Is this an original or revised site plan?
7a. Total acreage of parcel to be developed:
7b. Total acreage of parcel:
8. Property Information:
a) Property Identification Number:
b) Current Zoning:
C) Present Use:
d) Proposed Use:
e) Adjoining Property Use(s)
f) Adjoining Property Identification Number(s)
g) Magisterial District(s)
0
Standard Minor
Original ✓ Revised
9 SO s9. -ri•
10 3 07 ctcrer
77 —.Q —f; 8
SA
�e f e�om�nyq /cG �-i
To (e(; om vn> C a �/aYc
See 5 2 e D a n
wee side /�l�n
's hat APP
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:
Date:
,rte
7
0
Request For Site Plan Comments
Department of Planning and Development
Mail to:
Department of Planning and Development
Attn: County Planner
107 North Kent Street
Winchester, VA 22601
(540) 665 -5651
Hand deliver to:
107 N. Kent Street
North Building, 2"' Floor
Winchester, VA
(540) 665 -5651
Please fill out the information as accurately as possible in order to assist the agency with their
review. Please attach two (2) copies of the site plan with this sheet.
Applicant's Name: Ve11IZU4 W)IrelcSS c / ,-) ,417 c�0e6u
Address:
Phone Number:
Name of
Location of property:
y/�- 1/7% -90 ,5/
and /or description of
12' tin a C r_ U�01
Planning and Development's Comments:
request: l ro iec
as
S
15
`CK CpG
Special Limited Power of Attorney
O .e
ta° County of Frederick, Virginia
wl Frederick Planning Web Site: www.co.frederielc.vams
Department of Planning & Development, Cotuny of Frederick, Virginia,
107 North Kent Street, Suite 202, Winchester, Virginia 22601
Phone 540- 665 -5651 Facsimile 540 - 665 -6395
Know All Men By Those Present: That I (We)
(Name) wniilgj)k1 ch>< Iry �e f (Phone) 3041- 283 ~90&5-
(Address) 2// /71i /oeA V,411e; /Cove, She�iny Town ,wV 25' 3
the OvVner(s) of all those tracts or parcels of land (`Property") conveyed to ntc (us), by deed recorded in the
Clerk's Office of the Circuit Court of the County of Frederick. Virginia. by
Instrument No. on Page and is described as
Parcel: Lot: 65 Block: — Section: — Subclivision(ZU,J V 7'7 A 68 )
do hereby stake, constitute and appoint: I
(Name) Qnrr(rew MctrL/� J y ?(120YI 14ire)eSS (Phone)
(Address) 1:1000 clunetyan DrIVe ) An✓I alp 0 -6S J.,,(i1cr9 ) MD 2070/
To act as 1113, the and lawful attorney -in -fact for and in nr) name, place, and stead with fall power and
authority I (we) would have if acting personally to rile planning applications for my (our) above described
Property. including:
❑ Rezoning (including proffers)
V Conditional Use Permits
❑ Master Development Plan (Preliminary and Final)
❑ Subdivision
CA' Site Plan
My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to
previously approved Proffered conditions cXcept as follows:
This authorization shall expire one year from the clay it is signed, or until it is otherwise rescinded or
modified.
In witness thereof, ��) have I )cr�o' et n (o%�Ihand acid seal this 17A a), of �C, 200 ,
Signatare(s)
I, _��}�� IBC( a Notary Public in and for the juriscliction
aforesaid, certify that the pe+son(s) who signed to the foregoing instrument personally ap )�^a1re,d before me
an has acknawl ed the san efo'e me in the jurisdiction aforesaid this] day of urw 204—.
MY'Conli»ission C,nIANETTE JONES -POTTS
Notary Public A
My Commicsiec Expires Mav 14. 2012