Application for Zoning Verification Letter
Please complete all fields and submit via email at mcplan@montgomerycountyva.gov or in person to
Planning & GIS Services.
Applicant/Agent:
Phone: Email:_________________________________
Mailing Address:
Current Property Owner Name:
Location of Property/911 Address:
Tax Map#: - - Parcel ID (6 digits): Parcel Size: acres
Zoning District (if known): Number of existing dwelling units:
Ar
e you replacing an existing dwelling: □ Yes □ No
PROP
OSED CONSTRUCTION: (please select)
Single Family Dwelling: # Bedrooms □ Stickbuilt □ Modular
Manufactured Dwelling: # Bedrooms Year of Construction:
□ Class A (Doublewide, Triplewide, etc.) □ Deck Size___
□ Class B (Singlewide) □ Porch Size_____
□ Addition: Size sq.ft. Proposed use: (bath, den, etc.)
□ Accessory Structure Type: (garage, storage building, etc.)
Size: sq.ft. Height: ft.
□ Farm Structure Type:
Size: sq.ft. Height: ft.
□ Other Construction (Please describe):
Please provide a site plan, including a sketch of the property, proposed structure or use, distance to
property lines and location of driveways.
CERTIFICATION: I hereby certify that the information given is correct. I further understand zoning verification
will expire in twelve months.
Ap
plicant’s Signature Date
click to sign
signature
click to edit
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