Planning Commission Rezone Form

Property Owner*
First Last
Property Owner’s Telephone Number*
Email Address*
Property Owner’s Mailing Address*
Street Address Address Line 2 City State ZIP Code
Applicant
First Last
Applicant’s Telephone Number
Property Owner’s Mailing Address
Street Address Address Line 2 City State ZIP Code
Street Address of proposal
Street Address Address Line 2 City State ZIP Code
Land Use Type
Other
Tax Map #
Current Zoning
Construction Cost
Description of proposal
Structure
Width Length
Square Footage
Existing New
- Attached
- Detached
Peak Height
Lot
Depth (ft) Width (ft)
Setback
Front (ft) Rear (ft) Left (ft) Right (ft)
Attach Site Plan
Accepted file types: pdf, jpeg, png, gif, Max. file size: 50 MB.
Supported formats: PDF, JPEG, PNG, GIF
Utility Plan:
Water and sewer construction drawings and plans, when submitted to the Town as part of a zoning permit application for any commercial or multi-lot residential development, will be reviewed for completeness and compliance with all applicable regulations by a professional engineering firm licensed to work in the state of Virginia, hired by the Town and familiar with its specifications and rules; the cost of this professional review will be the responsibility of the applicant. All applicable utility connection and facility fees must be paid prior to approval of zoning permit.
Attach Utility Plan
Accepted file types: pdf, jpeg, png, gif, Max. file size: 50 MB.
Supported formats: PDF, JPEG, PNG, GIF
Business License Required:
Any business operating within the Town of Kilmarnock is required to obtain a business license. Out of town contractors must have a business license once the cost of work for the calendar year exceeds $25,000. Any applicable business license must be obtained prior to zoning permit approval.
Fees:
All construction costs $1,000 and over - $50.00
Construction costs between $100-$999 - $25.00
Construction costs below $100 - $15.00
I hereby certify that I shall conform to the Kilmarnock Zoning Ordinance, the Approval Utility Plan and the International Building Code. This permit is invalid if a building permit is not received from Lancaster or Northumberland County and construction is not started within 12 months of issuance of this permit. I, or we, must restore any and all damages to sidewalks, streets, alleys, sewers, gas mains, water mains, and electric installations which may result. Call Miss Utility at 811 prior to digging.
Sign Here*
First Last
Consent*
I agree to electronically sign and to create a legally binding document between the other party and myself, or the entity I am authorized to represent.

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Planning Commission Rezone Form

Town of Kilmarnock

Residents

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Government

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