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Request for Special Use Permit

  1. Special Use Permit Application

    The deadline for Special Use Permit applications is the first Tuesday of the month. An application is complete when the fee and all request information is received.

  2. Street Address, City, State, Zip Code

  3. Applicant Information

  4. Street Address, City State, Zip Code

  5. If applicant is the Contract Purchaser, attach contract.

  6. Statement*

  7. Property Owner Information

    If applicant is property owner, skip section.

  8. Street Address, City, State, Zip Code

  9. Other Representative

    Provide information for engineer, developer, attorney, or permit expeditor associated with this application. If no other representatives are associated with this application, or information has already been provided in the applicant section, skip section.

  10. Provide the name, company, mailing address, telephone number, and email address for all representatives associated with this application.

  11. Subdivision Lot & Parcel # and/or Tax Map Designation

  12. (if required)

  13. Adjoining Property Owners

    All adjacent property owner information shall be listed below or separately attached. Please provide property address, property owner name, and property owner mailing address for each adjacent parcel to the subject property. Applicants may submit property cards to satisfy this requirement. Property cards may be printed at the City Assessor's Office. Adjacent property owners include all property across from roadways, watercourses, railroads, and/or municipal boundaries.

  14. The names and addresses above are those of adjacent property owners as listed in the tax records of the City Assessor (or County Assessor, if applicable.)

  15. Information may be attached here or filled out above.

  16. Narrative

    The Comprehensive Plan is available on the City's website within the Planning Department webpage.

  17. Attachments*

    Check all applicable below:

  18. Please email attachments to hallk@colonialheightsva.gov to include with your submission.

  19. Leave This Blank:

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