Contact Information
Name: ____________________________ Role in project: ____________________
Phone: ____________________________ Email: _____________________________
Contact Information
Name: ____________________________ Role in project: ____________________
Phone: ____________________________ Email: _____________________________
Proposal Information
GPIN(s): __________________________ Acreage: ____________ Zoning: __________
Address (or location description):
______________________________________________________________________________
Existing or Previous Use of Land:
______________________________________________________________________________
Proposed Use or Improvements:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
*If possible, please submit a sketch plan of your proposal to the Planning
Department before the Pre-Application meeting.
T o w n o f A s h l a n d
Pre-Application
Meeting
Date: _________________________________
Department of Planning and Community Development
101 Thompson Street
Ashland, Virginia 23005
(804) 798-1073 www.ashlandva.gov
Possible application type(s):
□ Rezoning
□ Subdivision
□ Site Plan
□ Conditional Use Permit
