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Rezoning Application

  1. Street Address, City, State, Zip Code
  2. Applicant Information
  3. Street Address, City, State, Zip Code
  4. Street Address, City, State, Zip Code
  5. Street Address, City, State, Zip Code
  6. Street Address, City, State, Zip Code
  7. Statement*
  8. Site Plan Information
  9. Subdivision Lot & Parcel # and/or Tax Map Designation
  10. (if applicable)
  11. (if required)
  12. Attachments
  13. Attachments*
    Check all applicable below:
  14. If additional attachments need to be sent, please send them to siteplans@colonilaheightsva.gov 

  15. Adjoining Property Owners
    All adjacent property owners shall be listed. Adjacent property owners include all property across from roadways, watercourses, railroads, and/or municipal boundaries. The names and addresses below are those of adjacent property owners as listed in the tax records of the City Assessor and County Assessor if applicable.
  16. Rezoning Questions
  17. Conditional Zoning Application
  18. Approval
    The City Clerk on behalf of the City Council will send a letter to the applicant, with the approved ordinance including all proffers approved with the rezoning. Upon consideration of the proposed rezoning, the City Council shall consider the following factors and shall concur therein before acceptance of any of the additional conditions proffered.
  19. (list all items)
  20. Statement
    With the signing of this form, the property owner certifies that no cash contribution to the City has been solicited or offered as part of the proffer; as has no mandatory dedication of real or personal property, on- or off-site, for open space, parks, schools, fire departments or other public facilities.
  21. Leave This Blank:

  22. This field is not part of the form submission.