Montgomery County Planning & GIS Services
755 Roanoke Street Suite 2A; Christiansburg, VA 24073
Phone: 540-394-2148 | mcplan@montgomerycountyva.gov
SITE DEVELOPMENT PLAN APPLICATION
(Please Type or Print)
Date: ______________ Resubmittal: Yes No
Name of Development: _____________________________________________ Project #:________________________
CONTACT INFORMATION: Source Of Review Notification (Please Check One) MAIL FAX EMAIL
Applicant: ______________________________________ Phone:__________________ Fax:______________________
Address: _________________________________________________________ EMAIL:__________________________
Property Owner: ___________________________________ Phone:__________________ Fax:____________________
Address: _________________________________________________________ EMAIL:__________________________
Plan Preparer: __________________________________ Phone:__________________ Fax:______________________
Address: _________________________________________________________ Email:___________________________
SITE INFORMATION:
911 Property Address:_________________________________________________________ Parcel ID: _____________
Propos
ed Use: __________________________________________________ Zoning Designation: ________________
Engineer
’s Cost Estimate for Site Improvements (used to determine bond/letter of credit amount): $_________________
Erosion & Sediment Control:
Have E&S Plans Been Included? No
If No, has Approval Been previously received? No
Yes
Yes
Water & Sewer Services:
Water Facilities:
Date Submitted ____________
(Please Attach A Copy Of Approval)
Other _____________________
Sewer Facilities:
Other _____________________
Have
Water/Sewer Plans Been Included? No Yes
If No, has Approval Been Previously Received? No Yes
(Please Attach A Copy Of Approval)
VDOT Access:
Have Plans Been Included? No Yes Date Submitted __________________
Tr
affic Impact Analysis (TIA) Included? No Yes
If No, has Approval Been Previously Received? No Yes (Please Attach A Copy Of Approval)
Predevelopment Application #:______________________________________
OFFICE USE ONLY:
Date Received: _______________
Fee Due: $___________________
Revised: 07/24/2020
Fee Paid: Yes No
