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HomeMy WebLinkAbout03-11 ApplicationSITE PLAN APPLICATION 1. Project Title: 2. Location of Property (street address) Kernstown Commons Lot 5 Revision Approximately 0.2 Miles south of I -81 Exit 310 on the East side of Rt.11 1hat uc c, Mn Tlnnol rl I c Mi l l or iL,,Ai 3. Property Owner: Orange Partners Address: 500 Pegasus Ct - Winc es er, VIA ZZtDZ Telephone: 54 0. 6 6 7.13 2 2 4. Applicant /Agent Lellock Consulting, PC Address David Lellock 2 5 ree -M i dd±et ewn— VA -2-244 S Telephone: 540. 533. 6728 5. Designer: Same as Applicant /Agent Address: Telephone: Contact: 6 01 0 6e. Is this a standard or 'minor' site plan? Standard _ Minor X 6b. Is this an original or revised site plan? Original Revised X 7a. Total acreage of parcel to be developed: +/-2.47 Ac 7b. Total acreage of parcel: +/ -2.86 Ac 8. Property Information: a) Property Identification Number: 75 -5 -5 b) Current Zoning: B -2 C) Present Use: Vacant d) Proposed Use: Restaraunt with in -line Retail e) Adjoining Property Use(s) Restaurant, Grocery, Auto Sales f) Adjoining Property Identification Number(s) 75-5-4,6 & 9 75 -A -11C g) Magisterial District(s) Shawnee 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: t I Z-Z I l CA 0 Special Limited Power of Attorney County of .F.reduicic, Virginia Frederick Planning Web Site: www.co:frederick.va.us Department of Planning & Development, County of Frederick, Virginia, 107 North Kent Street, Winchester, Virginia 22601 Phone 540-665-5651 Facsimile 540- 66566395 Know All Men By Those Present: That (We) (Name) V i2A t/G l- (PAR`lAir- 125 (Phone) Sllo (9(0 3 a a (Address) �500 '?L.64$ us CburtT lJ v(14E -STEy( ✓A 2a(Do.a the owncr(s) of all those tracts orparccls of land ( "Property ") comiveyed to me (us), by deed recorded in the Clerk's Office of the Circuit Court Of the County of Frederick, Virginia, by InsnzmtentNo. 050026393 on Page and is described as Parcel: Lot: Block: Section: Subdivision: KLW1,1iO -1 CeI,l"v.vt do hereby make, constitute and appoint (Name) Lellock Consulting, PC (Phone) 540 -533 -6728 c/o David E. Lellock (Address) 2350 5th Street, Middletown, VA 22645 To act as my true find lawful attorney- io= f.•ict for and in my (our) name, place, and stead with full power and authority I (we) would have if acting personally to file planning applications for my (our) above described Property, including: • Rezoning (including proffers) • Conditional Use Permits 11 Mosier Development Plan (Prelimimuiry and Final) ❑ Subdivision ILI Site Plan My attorney- iii -fact shall have the authority to offer proffered conditions and to make amendments to previously approved proffered.conditions except as follows: This authorization shall expire one year from die day it is In witness thereof, :I (#,c) have hereto stet my (our) hand Signature(s) State of Virginia /City,(Cou141 of ed, or until it is otherwise rescinded or moditk seal this (9t day of 200_L_, To -wit: 1, &L'ra M , &M Pto-, , allotarypublicin and for thejurisdictionaforesaid, certify that`the person(s) Oho signed to the foregoing instrument personally appeared before me and has m m acknowledged the same before me in the jurisdiction aforesaid this 11 day of l 20� . 1%% co A 1,11 (]T(j r}1 _ Ud l� �)X.Q My Commission Expires: 3 rgayr R Notary Public z M i FG 0 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, 2nd 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: Lellock Consulting, PC Address: 235 5th Street Middletown, VA 22645 Phone Number: 540. 533. 6728 Name of development and /or description of the request: Revisions to approve site p an or erns own ommons o Location of property: Approximately 0.2 Miles south of I -81 Exit 310 on the East side of Rt.11 between McDonald's and Miller Hon a Planning and Development's Comments: 15