Rezone Application – Form 0200 Fill This Form Out Online or Scroll to the Bottom of this Page for a Printable Copy Rezone Application - Form 0200 Rezone Application- Form 0200 Department of Planning and Zoning P.O.Box217, Independence, VA 24348 Phone: 276-773- 2000 Fax:276-773-3673 www.graysoncountyva.govName* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Property Owner (if different) First Last Tax Map Number* 911 Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Acreage of Parcel* Rezone is for:Current Zone* Proposed Zone Please check the correct response and comment if necessary Is the property located in a floodplain?* Yes No Comments Commercial entrance permit review by VDOT?* Yes No Comments Building Official consultation?* Yes No N/A Comments Erosion and Sediment Control/Stormwater?* Yes No N/A Comments Will the property and structures meet the requirements of new zone?* Yes No Comments Water and Sewer review?* Yes No Comments Is the property located in a subdivision or under any previous legal obligations?* Yes No Comments Will hazardous materials be present?* Yes No N/A Comments NOTE TO THE APPLICANT: The rezone application will be reviewed by the Grayson County Planning Commission at their regular monthly meeting. If recommended for approval, the application will proceed to areview by the Grayson County Board of Supervisors. The application may take 2 - 3 months for approval. The State Code of Virginia, 1950 requires that a Public Hearing be held for both the Planning Commission and theBoard of Supervisors review of a rezone. A Public Hearing notice will be issued in the paper announcing the Public Hearing and all adjoining landowners will be notified by certified mail. In order to process the rezone application a complete application, required rezone fee, and a current site plan or survey representing theproperty must be submitted to the Zoning Department at least 3 weeks prior to the Planning Commission meeting date. Applicants are encouraged to research the potential of the site for the ability to meet all local, state and federal regulations prior to applying for a rezone.This should include a review of the project by Virginia Department of Transportation for the ability to meet commercial entrance requirements, Virginia Department of Health and/or provider of well and septic services, discussion with the Grayson County Building Official, review of Erosion and Sediment Control/Stormwater where land disturbance is proposed. If the applicant is submitting proffered conditions with the rezone application, these must be submitted with the application or at least 7 days prior to the meeting of the Planning Commission. The applicant or a representative must be present at the meetings of which the application for rezone is considered. If the decision of the Planning Commission or Board of Supervisors is to be appealed, the applicant should submit an appeal of the decision per StateCodeof Virginia,1950, as amended.Present use of the property* Need and justification for the rezone*Effect of the proposed change (if any) on public services and facilities:Relationship of the proposed rezone to the goals and objectives of the Comprehensive PlanHow will the proposed change effect surrounding properties and the general welfare of the community?Is the projected use of the property consistent with the zoning districts goals, uses and purpose?I certify that the information listed on this application is true and correct, to the best of my belief and knowledge. By signing this application I grant permission for an agent of the Zoning Department to visit the site for necessary reviews and inspections.Signature of Property Owner* Date* MM slash DD slash YYYY Download (PDF, 36KB)
