Appendix B.

APPLICATIONS AND PERMITS

TITLE

APPLICATION FOR ZONING PERMIT

ZONING PERMIT

CERTIFICATE OF OCCUPANCY

CONDITIONAL USE PERMIT

APPLICATION FOR ZONING VARIANCE

TOWN OF DAMASCUS, VIRGINIA

APPLICATION FOR ZONING PERMIT

Date of Submission ;daterule;

Application is hereby made for a zoning permit in accordance with the description and for the purpose hereinafter set forth. This application is made subject to all local and state laws and ordinances which are hereby agreed to be the undersigned and which shall be deemed a condition entering into the exercise of the zoning permit if granted by the town. ALL PORTIONS OF THIS APPLICATION MUST BE FILLED OUT COMPLETELY TO BE CONSIDERED A VALID APPLICATION.

*  *  *

Applicant Information:

Name of Property Owner of Record: _____

911 Address: _____

Name of Tenant or Leasing Entity, if other than Property Owner of Record: _____

Mailing Address of Property Owner of Record (include P.O. Box and Zip Code):

_____

_____

Telephone Number of Property Owner of Record (include Area Code): _____

Mailing Address of Tenant or Leasing Entity, if other than Property Owner of Record (include P.O. Box and Zip Code):

_____

_____

Telephone Number of Tenant or Leasing Entity (including Area Code): _____

Proposed Use Information:

Current Use of Property (Check appropriate box(es)):

[] Single-family residential

[] Multifamily residential

[] Commercial enterprise

[] Industrial enterprise

[] Combined residential/commercial

[] Combined commercial/industrial (activities involving manufacturing or processing but with on-site sales of goods to private individuals and firms)

[] Agricultural/Vacant property

Proposed use of Property (Describe below):

_____

_____

_____

_____

Name of enterprise to be located on property (Business name):

[] not applicable

[] undetermined

 

_____

*  *  *

Construction Information:

Name of Construction Firm or Prime Contractor:

_____

Mailing Address of Construction Firm or Prime Contractor (include P.O. Box and Zip Code):

_____

_____

Telephone Number of Construction Firm or Prime Contractor (include Area Code): _____

Name and Title of Contact Person:

_____

_____

Certified State Contractors Number: _____

Estimated Date of Start of Construction: _____

Estimated Completion Date of Construction: _____

*  *  *

Site Plan Drawing:

On the reverse side of this page, or as a prepared site drawing, sketch the property and all existing and proposed structures and improvements. The following information MUST be contained on the site plan drawing:

(1)

All physical dimensions of existing and proposed structures and improvements, including structure heights and building stories.

(2)

Distances in linear feet between structures, property lines, easements, rights-of-way, streams, etc.

(3)

Lot dimensions and locations of all rights-of-way and streams on property.

The Town reserves the right to require applicants to submit additional information deemed necessary for the purposes of a zoning permit.

*  *  *

Certification Statement:

I (We), the undersigned, do hereby certify that the information contained in this Application is true and correct as far as is known, and that such information accurately reflects the proposed use of the property for which a Zoning Permit is sought.

_____ Signature of Applicant or Applicant's Agent

_____ Date of Application

 

{Site Plan drawing on reverse side of this page, or as attachment}

TOWN OF DAMASCUS

ZONING PERMIT

Date _____ Application No. _____

Approved, I certify that the proposed structure, land-use, alteration, or sign in the above numbered application conforms to the provisions of the Damascus Zoning Ordinance adopted on ;daterule;.

Zoning Administrator ____________.

Disapproved under the provisions of Article ;#rule; Paragraph ;#rule; of the Damascus Zoning Ordinance as adopted on ;daterule;.

Zoning Administrator ____________.

A CERTIFICATE OF OCCUPANCY MUST BE ISSUED BEFORE A STRUCTURE IS OCCUPIED.

You have the right to appeal this decision to the Board of Zoning Appeals within 30 days. A notice of appeal must specify the grounds thereof. Code of Virginia, § 15.2-2311, as amended.

TOWN OF DAMASCUS

CERTIFICATE OF ZONING

Date _____ Application No. _____

Approved, I certify that the structure named in the above numbered application has been built as specified in the application.

Zoning Administrator ____________.

Disapproved under the provision of Article ;#rule; Paragraph ;#rule; of the Damascus Zoning Ordinance as adopted on ;daterule;.

Zoning Administrator ____________.