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SITE PLAN APPLICATION
Ojfee Use Only-
Date Application Received _ �p1� 1 � Application #:
Project Title: Mercury Paper Guardhouse
Location of Property
(Street address)
321 Apple Valley Road
Winchester, VA 22602
3. Applicant /Designer:
Name: Triad Engineering, Inc. (Dennie Dunlap) Telephone: 540.667.9300
Address: 200 Aviation Drive
Winchester, VA 22602
4. Property Owner (if different than above):
Name: NorthMarq Capital, LLC Telephone: 847.318.1613
Address: 9700 Higgins Road, Suite 900
Rosemont, IL 60018
5. 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:
C. Proposed Use:
f. Magisterial District(s)
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Parcel ID No. 63 -A -58B
14.58 acres
< 0.01 acres
Industrial
Industrial
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6. Site Plan Type
a. Is this an original or new site plan? Ycs No
b. Is this a revised site plan? Yes n No
If yes provide all previous site plan numbers:
C. Is this a minor site plan? Yes Il No
If yes provide all previous site plan numbers:
7. Zoning Information:
a. Current Zoning: M -1
b. Was this property Rezoned? Yes El No
C. If yes provide the rezoning number for this property:
d. Are there any proffers for this property? Y
C. Has a MDP been approved for this property? Y
f. If yes provide the MDP number for this property: _
8. Adjoining property zoning and use:
USE
North RP, RA
East M -1
South M-1
West RA, M -1
s
.s
No
No
LJ
ZONING
Residential, Battlefield
Industrial
Office
Vacant, Vacant
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: I
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Special Limited Power of Attorney
County of Frederick, Virginia
Frederick Planning Website: 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) 665 -6395
Know All Men By These Presents: That I (We)
(Name) �.> y� � o�K L (Phone) 64-7_31,V. 1&13
(Address) 7'O0 �iaai r �.%. $v ¢� 9ao /COla.no ✓l 1L
the owner(s) of all thos racts or parcels of land ( "Property ") conveyed to Inc (us), by deed
Clerk's Office of the Circuit Court of the County of Frederick, Virginia, by
Instrument No.
on Page
Parcel: Sae Lot: Block: Section: A
do hereby make, constitute and appoint:
(Naive) Triad Engineering, Inc.
and is described as
Subdivision: Tax Map 63
(Phone) 540.667.9300
the
(Address) 200 Aviation Drive; Winchester, VA 22602
To act as my trite and lawful attorney -in -fact 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:
tg (including proffers)
onal Use Permit
Development Plan (Preliminary and Final)
Site Plan
.Variance or Appeal
My attorney -in -fact shall have the authority to offer proffered conditions and to make amendments to previously
approved proffered conditions except as follows:
I ms authorization shall expire one year fi om the day it is signed, or until it {s otherwise rescinded or modified.
In witness thereof, I (we) have hereto set my (our) hand and seal this day of Jam✓ u 20 /t ,
Signature(s)
State of Vir9ityi6enmg of To -wit:
1, Elm- J. 96ti1S , a Notary Public in and for the jurisdiction aforesaid,
certify that the person(s) who signed to the foregoing instrument personally appeared before me and has
acknowledged the same before me in the jurisdiction aforesaid this day of J urtt '20 1(
Notary
EVA J.
Commission Expires
Expires: q .15 • 201 LI
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REQUEST FOR SITE PLAN COMMENTS
Frederick County Department of
Planning & Development
Mail to:
Frederick County
Department of Planning & Development
107 North Kent Street,
Winchester, Virginia 22601
Phone: (540) 665 -5651
Hand deliver to:
Frederick County
Department of Planning & Development
107 North Kent Street, 2 "d Floor
Winchester, Virginia 22601
Applicants Name: Triad Engineering, Inc.
Mailing Address: 200 Aviation Dave
Telephone: 540.667.0300
Winchester, VA 22602
Name of development and /or description of the request:
Apple Valley Guard Booth -- Owner wishes to construct a 6' x 6' modular guard booth wl sliding gates for access to western truck docks to
existing facility.
Location of Property:
Property is located at 321 Apple Valley Road, west of intersection with Shady Elm Road.
Department of Planning & Development Comments:
- PLANNING DEPARTMENT USE ONLY-
Date Received Review Number 1 2 3 4 5 (circle one)
Date Reviewed
Revision Rcqutred " ? '^- , �- bate Approved
Stgnahirc & Datc:. `� �* ' `` •
.� „, � ___ •_� » , � �,,, • Ple�ese Return Form to Applic$nC +�,, 1 x �, e „ � F
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