SITE PLAN APPLICATION
Please review the Richmond Zoning Regulaons and provide all the
informaon requested in this applicaon. Addional local permits and approvals may also be required
(such as access permits, water & sewer allocaons, E911 address assignments.) For informaon contact
the Zoning Administrave Ocer at 434-2430. Other federal, state and local permits or approvals may
addionally be required, it is the duty of the applicant to obtain all relevant and applicable approvals. To
inquire about State permits contact the State Permit Specialist at 802-477-2241.
Permit #
Parcel ID: _____________
Applicaon Date: ______________ Physical Address of Property: _____________________________________________________
Applicant Name: ______________________________________
Applicant Mailing Address: ______________________________
____________________________________________________
____________________________________________________
Phone: ______________________________________________
Email: _______________________________________________
Property Owner Name: _________________________________
Owner Mailing Address: ________________________________
____________________________________________________
____________________________________________________
Phone: ______________________________________________
Email: _______________________________________________
Brief descripon of Project: ____________________________________________________________________________________
Please review Secon 5.5 of the Richmond Zoning Regulaons and provide the follow informaon. Informaon may be presented within
the form of a cover leer with associated plans and technical informaon.
Narrave descripon of the project
Names and addresses of all abuers, including those across conguous roads or highways
Stamped addressed envelopes for all abuers.
A site plan prepared by a registered surveyor, professional planner, engineer, architect, or landscape planner. The site plan shall be
drawn to scale, and submied with wrien supporng data, showing the following:
Exisng features: contours, structures, ulity easements, rights-of-way, deed restricons, signicant landscape features, roads
or highways, surveyed boundaries, dimensions, total lot size; and
Proposed land development: land use areas, structures, driveways, curb cuts, parking and loading areas, trac circulaon,
pedestrian walkways, outside display areas, signs, site grading, landscaping, planngs and screening, setbacks and buer
strips, outside lighng, equipment and waste storage areas and sewage disposal areas.
Informaon as to the me period or phasing for compleon of the project.
Three copies of the applicaon packet (no larger than 11”x17”), one large format copy of all plans, one digital copy of all materials.
Site Plan Applicaon Fee— $160.00
(An addional $500 Technical Review Fee maybe applied to some projects—Sta shall determine)
Please note, upon review of the applicaon the DRB may also require the following submials: Security as provided in Secon 8.2.5
Formal trac study if a substanal alteraon in public trac ow is ancipated or a large-scale parking area is planned. This may include
analyses of trac volumes, average daily trips, turning movements, paerns of ingress and egress, levels of service on roadways and at
intersecons, and modes of trac control.
- DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY —-
Applicaon Complete Date: DRB Referral Leer Issued (date): ________ DRB Hearing Date:
Comments: ________ Zoning Fee: __________________
Zoning Administrave Ocer signature: Date:
Signatures: The undersigned hereby ceres this informaon to be complete and true.
Applicant Signature Date Property Owner Signature Date
NOTE:  



Applicaon created July 2017
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