COUNTY OF ROCKBRIDGE

APPLICATION FOR TOURISM CORRIDOR REVIEW BOARD

 

ACTION                                                                                                                                                             FEE

 

□ Commercial Site Plan Review----------------------------------------------------------------------------------              $150.+ $10/acre

□ Minor Site Plan Review-----------------------------------------------------------------------------------------              $50.       


Total Fee -------------------------------------------------------------------------------------------------------------                _______

 

MAGISTERIAL DISTRICT________________________                     ZONE_______                  DATE_______________________

 

1.    Land Owner's Name:____________________________________________________________________________

 

2.    Address:_____________________________________________________________________________________

 

3.    Phone Number:(work)__________________________                   (home)____________________________________

 

4.    Applicant's Name:______________________________________________________________________________

 

5.    Address:_____________________________________________________________________________________

 

6.    Phone Number:(work)_____________________________                 (home)_________________________________

 

7.    Tax Map:_____________________________________                 Subdivision:_______________________________

 

8.    Location of Property:___________________________________________________________________________

 

9.    Permitted Use: Section # _________________________________________________________________________


    Special Exception Approval Date___________________________________________________________________


      Plan(s) showing the following:

 

     □ Written description of plans                                               □ Proposed Color Scheme(s)

 

     □ Proposed Architectural plan                                               □ Proposed Lighting

 

     □ Proposed Landscaping plan                                               □ Proposed Parking


     □ Proposed Signage

  

   

                    

______________________________________________         __________________________________________

(Signature of Applicant)                                                                         (Signature of Land Owner)


Meeting Date: 

                                           Tourism Corridor Review Board _____________________

 

Date of Final Approval___________________                          _______________________________________

                                                                                                                   (Administrator)

Special Conditions: _____________________________________________________________________________

 

                Administrative Fee G-103