Comprehensive Plan
Text Amendment
www.harrisonburgva.gov/comprehensive-plan
Page 1 of 1 Last Updated: December 2, 2019
PROPERTY INFORMATION
Comprehensive Plan Chapter:
Proposed Text (Attach separate sheet, if needed.)
APPLICANT’S INFORMATION
______________________________________________________
Applicant’s Name
______________________________________________________
Street Address
________________________ _________ _________________
City State Zip
______________________________________________________
Telephone
______________________________________________________
E-Mail
APPLICANT’S REPRESENTATIVE INFORMATION (if applicable)
___________________________________________________
Applicant’s Representative
______________________________________________________
Street Address
________________________ _________ _________________
City State Zip
______________________________________________________
Telephone
______________________________________________________
E-Mail
CERTIFICATION
I certify that the information supplied on this application and on the attachments provided is accurate and true to the best of my
knowledge.
_____________________________ ________
APPLICANT DATE
REQUIRED ATTACHMENTS
Letter explaining the reasons for seeking comprehensive plan amendment.
TO BE COMPLETED BY PLANNING & ZONING DIVISION
Date
_____________________________________________________
Date Application and Fee Received
_____________________________________________________
Received By
Total Fees Due: $________________________
Application Fee: $450.00
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