2. Rezoning Application

   The deadline for a Rezoning Application is the first Tuesday of the month. An application is complete when the fee and all request information is received.

4. Date of Request*
   Date of Request
6. Address of Request*
   Street Address, City, State, Zip Code
10. Applicant Information
12. Property Owner
14. Contact Name*
16. Address of Owner
    Street Address, City, State, Zip Code
18. Telephone No.
19. Fax No.
21. Email Address
23. Developer (if applicable)
    Street Address, City, State, Zip Code
24. Engineer (if applicable)
    Street Address, City, State, Zip Code
26. Contact Name*
    Street Address, City, State, Zip Code
28. Telephone No.*
29. Fax No.
31. Email Address
33. 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.
37. Site Plan Information
39. Site Acreage
41. Parcel Identification*
    Subdivision Lot & Parcel # and/or Tax Map Designation
43. Current Zoning*
45. Existing Square Footage of Structure(s)*
47. Proposed Square Footage of Structure(s)
49. Name of Subdivision
    (if applicable)
51. Proposed Land Use Activity*
53. Vehicles per Peak Hour (VPH)
54. Traffic Impact Analysis
    (if required)
58. Attachments
60. Attachments*

    Check all applicable below:

    1. Adjacent Property Owners Form
    2. Thirteen Copies of the Plat of the Subject Property and Preliminary Plans
    3. Responses to Questions on following page
    4. Conditional Zoning document (if applicable)
    5. Applicants Affidavit, if not owner
    6. Required $1,500 fee for Zoning Request
    7. Building Elevations
    8. Traffic Impact Analysis Fee ($500-100VPH or less, $1,000-more than 100VPH)
62. Attachments

    If additional attachments need to be sent, please send them to siteplans@colonilaheightsva.gov 

64. 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.
66. Parcel ID #*
67. Name
68. Street Address*
72. Rezoning Questions
74. Explain how this request is consistent with the Comprehensive Plan*

    Comprehensive Plan: 

    https://www.colonialheightsva.gov/273/Comprehensive-Plan

    Chapter 286 Zoning: 

    https://ecode360.com/9340883   

76. What is the Land Use and Transportation Plan Map designation of the subject property?*
78. Describe in Detail the Proposed Use of the Property.*
80. Explain how this request will impact the surrounding neighborhood and/or the City of Colonial Heights.*
82. List any sensitive environmental or unique features of the property.*
84. Have you prepared a conceptual plan of the proposed development, including proposed uses, general lot configurations and road locations?*
86. What provisions will be made to provide safe and adequate access to the subject property?*
88. Please identify any known or suspected historic resources on both the subject property and adjacent properties.*
92. Conditional Zoning Application
94. 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.
96. Proffered Conditions
    (list all items)
98. Please explain the manner in which the proposed zoning itself gives rise to the need for the additional conditions, relationship to the rezoning and the physical operation of the property and consistency with the Comprehensive Plan.
100. 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.
102. Surety Bond required?
Leave This Blank:


104. 1. Receive an email copy of this form.
105. Email address

     This field is not part of the form submission.

106. Submit

* indicates a required field