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Certificate of Appropriateness for Projects in a Historic District Application
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Steps
1.
Step One
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2.
Applicant Information
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3.
Applicant Information (continued)
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4.
Site Plan Information
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5.
Attachments
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Step One
Date of Request
*
Date of Request
Address of Project
*
Street Address, City, State, Zip Code
Description of Request
*
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Applicant Information
Property Owner
Contact Name
*
Developer
(if applicable)
Address of Owner
*
Street Address, City, State, Zip Code
Telephone No.
*
Fax No.
Email Address
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Applicant Information (continued)
Engineer (if applicable)
(Street Address, City, State, Zip Code)
Contact Name
*
Address
*
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.
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Site Plan Information
Site Acreage
Parcel Identification
*
Subdivision Lot & Parcel # and/or Tax Map Designation
Proposed Land Use Activity
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Attachments
Attachments
*
Check all applicable below:
Adjacent Property Owners Form
Proposed Plans, photos, etc. for the subject property
Proposed Plans
*
Additional Documentation
including photographs, etc.
Please email attachments to hallk@colonialheightsva.gov to include with your submission if error occurs attaching files above.
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.
Parcel ID #
*
Name
Street Address
*
Approval
The Administrator on behalf of the Architectural Review Board will issue a certificate of Appropriateness, including all conditions of the approval once the application is reviewed.
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Email address
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