2. Preliminary Subdivision Plat Application

   A Preliminary Subdivision Plat Application is due the first Tuesday of the month to be considered for review at a Planning Commission meeting. An application is complete when the fee and all request information is received.

4. Please use this checklist to submit an application:
   Preliminary Subdivision Plat Checklist
6. Date of Request*
   Date of Request
9. Address of Request*
   Street Address, City, State, Zip Code
11. Property Owner
13. Owner Contact Name*
15. Address of Owner*
    Street Address, City, State, Zip Code
17. Telephone No.*
18. Fax No.
20. Email Address
22. Developer (if applicable)
    Street Address, City, State, Zip Code
23. Engineer (if applicable)
    Street Address, City, State, Zip Code
25. Contact Name & Address*
    Street Address, City, State, Zip Code
27. Telephone No.*
28. Fax No.
30. Email Address
32. Site Acreage
34. Parcel Identification*
    Subdivision Lot & Parcel # and/or Tax Map Designation
36. Name of Proposed Subdivision*
38. Contract Purchaser*
    Name, address and additional information (if applicable)
40. Number of Proposed Lots*
43. Vehicles per Peak Hour (VPH)
44. Traffic Impact Analysis
    (if required)
46. Attachments*

    Check all applicable below:

    1. Preliminary Plat of the subject property
    2. Preliminary Engineering Plans
    3. Required Fee - $1,000
    4. Traffic Impact Analysis Fee ($500-100VPH or less, $1,000-more than 100VPH)
48. Preliminary Plat of Subject Property*
50. Preliminary Engineering Plan*
52. Traffic Impact Analysis
    (if required)
54. Statement

    1. All information is accurate to the best of my ability. By checking this box, you are agreeing to sign and take responsibility for the work on this permit

    .
56. Please email attachments to siteplans@colonialheightsva.gov to include with your submission if error occurs attaching files above.
58. Approval

    The Director of Public Works and the Director of Planning will sign four (4) copies of the Final Plat. One copy shall be provided to the applicant for recording in the Circuit Court.

Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field