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Certificate of Appropriateness Application

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Steps

1. Step One (current) This section is complete This section is incomplete
2. Applicant Information This section is complete This section is incomplete
3. Site Plan Information This section is complete This section is incomplete

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/Tenant
Contact Name*
Address of Owner*
Street Address, City, State, Zip Code
Telephone No.*
Fax No.
Email Address
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.
Print Name*
By printing your name here you are signing the application.
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Site Plan Information

Site Acreage
Existing/Proposed Square Footage of Structure(s)
Name of Subdivision
(if applicable)
Proposed Land Use Activity

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City of Colonial Heights
201 James Avenue | P.O. Box 3401 | Colonial Heights, VA 23834
Phone: (804) 520-9266 | Hours: 8:30 AM - 5:00 PM
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