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Step One

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*
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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Attachments*
Check all applicable below:
1. Adjacent Property Owners Form
2. Proposed Plans, photos, etc. for the subject property
Proposed Plans*
Additional Documentation
including photographs, etc.
Please email attachments to planning@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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