Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Special Use Permit Application

  1. Special Use Permit Application

    The deadline for a Special Use Permit application is the first Tuesday of the month. An application is complete when the fee and all requested 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. By printing your name here you are signing the application.


  8. Property Owner Information
    If applicant is property owner, skip section.
  9. Street Address, City, State, Zip Code
  10. 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.
  11. Provide the name, company, mailing address, telephone number, and email address for all representatives associated with this application.
  12. Subdivision Lot & Parcel # and/or Tax Map Designation
  13. (if required)
  14. 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.

  15. 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.)
  16. Information may be attached here or filled out above.
  17. Comprehensive Plan
  18. Attachments*
    Check all applicable below:
  19. If needed, please email additional attachments to siteplans@colonialheightsva.gov to include with your submission.
  20. Leave This Blank:

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