Page 4 of 4 (2018)
Adjacent Property Information
Surrounding property owner information can be found by searching online for
Hanover County GIS, and viewing parcel level ownership information.
Statement of proffers for rezoning must include the following:
_______________________________________________, OWNERS OF Tax Parcel/GPIN
_______________________ hereby voluntarily proffer for themselves, their personal
representatives, successors and assigns hat, in the event that the subject property
(referred to as “the Property” is rezoned from ___________ to ___________, the
development and use of the Property will be subject to the following conditions:
Notary statement for proffers (must provide at end of proffer statement):
These proffers are being submitted prior to the Ashland Town Council Public Hearing
on this request, scheduled to occur on _____________________________.
Applicant Signature Date
I, __________________________________, a Notary Public for the State of Virginia, do
certify that ______________________________________, whose name is signed to the
above, bearing date on the _____________ day of _______________, _________, has
acknowledged the same before me in my State aforesaid.
Given under my hand this ______ day of ____________________, ____________.
My Commission expires __________________________
Registration No. ________________________________