Fillable Altavista-Zoning-Permit 2020 Layout 1

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Altavista-Zoning-Permit 2020 Layout 1

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The Altavista-Zoning-Permit 2020 Layout 1 form is 2 pages long and contains:

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  • 25 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Altavista

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1. CURRENT LAND USE: VACANT CIVIC RESIDENTIAL COMMERCIAL INDUSTRIAL
2. LOT DIMENSIONS (FT.): __________________________ LOT AREA (AQ. FT.): ___________________________
3. PROPOSED USE OF THE BUILDING: ________________________________________________________________________________
4. SETBACK INFORMATION
DISTANCE FROM FRONT PROPERTY LINE: ____________ DISTANCE FROM RIGHT PROPERTY LINE: ____________
DISTANCE FROM REAR PRPOERTY LINE: ____________ DISTANCE FROM LEFT PROPERTY LINE: ____________
5. PARKING: NUMBER OF PARKING SPACES: ____________
6. PUBLIC STREET ROAD FRONTAGE: ________________
R-1
R-2 C-1 C-2 M
EMAIL:
TOWN OF ALTAVISTA
ZONING APPLICATION
PERMIT NO.
NATURE OF THE PROJECT (please provide a brief description of the project)
EXPECTED COMPLETION DATE:
ESTIMATED COST OF THE PROJECT:
PERMIT IS FOR:
Town of Altavista 510 7th Street Altavista, VA 24517 Phone: (434)-369-5001 Fax: (434)-369-4369 www.altavistava.gov
PROJECT ADDRESS:
APPLICANT NAME:
PHONE:
PROPERTY OWNER'S NAME AND ADDRESS:
(if different from applicant)
CURRENT ZONING:
NEW BUILDING ADDITION ALTERATION NEW OCCUPANT HOME OCCUPATION
(please complete home occupation sheet)
Zoning Application Fee: $20
BY SIGNING BELOW, I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE.
OWNER SIGNATURE (if applicable)
date
APPLICANT SIGNATURE
date
PARCEL ID NUMBER: _______________
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For Community Development Office Use Only
BUILDING PERMIT REQUIRED: YES NO
**Campbell County Building Permits and Inspections | 85 Carden Lane | Rustburg, VA 24588 | (434)-332-9596
SITE PLAN REQUIRED: YES NO
TOWN OF ALTAVISTA BUSINESS LICENSE REQUIRED:
E & S PERMIT REQUIRED: YES NO
APPLICATION: APPROVED DENIED
Zoning administrator signature date
ATTACH A SITE PLAN OR PROPOSED PROJECT DIAGRAM
Town of Altavista 510 7th Street Altavista, VA 24517 Phone: (434)-369-5001 Fax: (434)-369-4369 www.altavistava.gov
YES NO
1. Take accurate field measurements and/or using mapping tools to determine setbacks.
2. Prepare a Site Plan or project diagram, using a plat or other scale drawing to show the location of proposed and existing
structures on the lot. If available, use a survey plat from a licensed surveyor. One may be required for review.
3. Clearly mark setbacks on the attachment and match them with setbacks provided above.
4. Initial or sign the Site Plan or project diagram and attach it to this Zoning Permit application.
5. Contact the Community Development Office (434-369-5001) with any questions prior to submitting the application.
NOTES: Setbacks are the distances between proposed structure(s) and the nearest property lines or public/private road
right of way. The edge of road pavement is usually not a property line.
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Altavista-Zoning-Permit 2020 Layout 1

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Completed 10 July 2020

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