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Zoning Permit Application
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This form has been modified since it was saved. Please review all fields before submitting.
Date of Request
*
Date of Request
Address of Request
*
Street Address, City, State, Zip Code
Property Owner/Tenant
Contact Name
*
Address of Owner
*
Street Address, City, State, Zip Code
Telephone No.
*
Fax No.
Email Address
*
Statement
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.
Site Acreage
Parcel Identification
*
Subdivision Lot & Parcel # and/or Tax Map Designation
Current Zoning
*
Existing/Proposed Square Footage of Structure(s)
*
Name of Subdivision
(if applicable)
Proposed Land Use Activity
Contract Purchaser
(name, address and approval if applicable)
Consistency with Zoning
Existence of RPA/RMA
*
Please note whether lot of record delineates the Resource Protection Area (RPA) per the Chesapeake Bay Preservation Area requirements.
Actions Taken/Date
Approved
Denied
Reason
Zoning Administrator
Zoning Administrator
Date
Date
Type of Project
New Construction
Addition
Deck (uncovered/covered)
Porch (uncovered/covered)
Garage/Carport
Pool
Shed
Manufactured Building
Ramp
Dimensions of Structure
Setback (front property line)
Setback (side property line)
Setback (rear property line)
Estimated Cost
Attachments
Required $50 fee
Site Plan for Construction
Construction Document(s)
Site Plan for construction to include: details, dimensions, location of construction
*
*please notate whether RPA/RMA exists on site
Construction Document
May be submitted as a hard copy to the Building Official
Please email attachments to siteplans@colonialheightsva.gov to include with your submission if error occurs attaching files above.
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Email address
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