HomeMy WebLinkAbout19-11 Applicationr , 0 •
SITE PLAN APPLICATION
- Ojfice Use Only -
Date Application Received: Application
Fees Received: l� Receipt #.. initials,:
1. Project Title:
2. Location of Property U
(Street address)
3. pplicanUDesi r:
c�� /r1, �Cse,c_ 03 573 -72 z
Name: G Telephone: 7G
Address:
4. Property Owner (if different than above):
Name: U �l '. J�
Zl
Address: 6 o /
5. Pro
a.
b.
C.
d.
e.
f.
v/
>erty Information:
Property Identification Number:
Total acreage of the parcel to be developed
Total disturbed area of the parcel:
Present Use:
Proposed Use:
Magisterial District(s)
8
Telephone: -703 `/07'3
3--4-
E C9
JUN 2 3 2011
M
Pik
6. Site Plan Type:
a. Is this an original or new site plan?
b. Is this a revised site plan?
If yes provide all previous site plan numbers:
C. Is this a ininor site plan?
If yes provide all previous site plan numbers:
0
Yes No
Yes ✓ No
Yes ✓ / No
7. Zoning Information:
a. Current Zoning:
K 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 a MDP been approved for this property? Yes No V/
f. If yes provide the MDP number for this property:
8. Adjoining property zoning and use:
USE
North
East
South
West
ZONING
I have read the material included in this package and understand what is required by the Frederick
Department. I also under td that all required material will be complete prior to the submission o
Signature:
Date:
9
ounty Planning
my site plan.
Il i
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 &
107 North Kent Street- 2nd
Winchester, Virginia 2260
Applicant: It is your responsibility to complete this form as accurately as possible in order to assist the age
cy with their j
review. Please attach two (2) copies of the Site Plan with this sheet.-,, ,
u
Applicant's Name: W �n�� m t2
/Telephone:
Mailing Address:
LG ekzI)AGA k/& 74 45!0
Name of development and /or description of the request:
4" fY6�Y /o
Location of Property:
-E-5-0 �t
2
Department of Planning & Development Comments:
______ —.
___
- -- - PLANNING DEPARTMENT USE ONLY -
Date Received Review Number 1 2 3 4 5 (circle one)
Date Reviewed
Revision Required. Date Approved
Signature & Date:V •
* Please`Retnrn�Fcrm to Applicant"*
16
JUL 5 2011 a'
- K co -� Special Limited Power of Attorney
c4 G��` '• County of Frederick, Virginia
Frederick Planning Website: www.co.frederick.va.us
„WAN
Department of Planning & Development, County of Frederick, Virginia I
107 North Kent Street, Winchester, Virginia 22601
Phone (540) 665 -5651 Facsimile (540) 665 -6395
I
Know All Men By These Presents: That I (We)
f� c�ra;r5 tt�Q5hyh5 -00
A Ipu-h qvi ehhN$ c{o 3,.342
(Name) (rill i vi.;TO� 64S Ctldw Sn -Cti0 t��luPr--(Phone) 703750 5- �'q4
(Address) 1pfjQ/ Z4lJL�USI f�1+4� �S�d� Si�Qtuy� �%4 ZZ,sf,
the owner(s) of all those tracts or parcels of land ("Property ") conveyed to me (us j, by deed 'recorded in the
Clerk's Office of the Circuit C urt of the County of Frederick, Virginia, by
eECO�I� _-,6 --0 q10 z1
Instrument No. on Page and is described as
Parcel: Lot: ,.Z Block: Section:( Subdivision: 0), t5y f�UVs�fl G/IQ�
do hereby make, constitute and appoint:
(Name) //d ry/ / lS-o yL f� (Phone) %(�? CIU `� y 72 Y
(Address)
To act as my true 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:
Rezoning (including proffers)
Conditional Use Permit
Master Development Plan (Preliminary and Final)
,Subdivision
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:
This authorization shall expire one year from the day it is signed, or until it is otherwis resandeETorrnodified.
In witness thereof, I (we have hereto set my (our) hand and seal this J O day of
Signature(s)
State of `Virginia, City/County of To -wit: r T 1
I, Ij e L _. a Notary Public in and for the jurisdiction aforesaid,
ce� that the person(s) who signed to the foregoing instrument ersonally appeared before me and has
ack owledged the Arne before me in the jurisdiction aforesaid this � day of � vy C , 20 1
—d My Commission Expires: 03