Zoning Class I & II Subdivision Application Form Fill This Form Out Online or Scroll to the Bottom of this Page for a Printable Copy Zoning Class I & II Subdivision Application Form Class I & II Subdivision Application - Form 0700 Department of Planning and Zoning P.O. Box 217, Independence, VA 24348 Phone: 276-773-2471 Fax: 276-773-3673 www.graysoncountyva.gov Name* 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*Name of Property Owner (If Different) First Last Tax Map Number(s)* 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 Total Acreage of Parcel(s)* Proposed Name: Zone* District*Class I -15 lots or moreClass II - under 15 lotsNumber and Size of Lots*Primary Road Access*Proposed frontage of lots*Proposed use of lots*Subdivision Street type* Turnaround design* Is the property located in a floodplain?* Yes No Commercial entrance permit review by VDOT* Yes No N/A Can the subdivision meet the design criteria for streets?* Yes No N/A Erosion and Sediment Control Plan Review* Yes No N/A Utility Access/Plan?* Yes No Will the property and structures meet all other requirements of the zone district? Yes No Water and Sewer review?* Yes No Maintenance agreements or HOA?* Yes No Comments NOTE TO THE APPLICANT: The Subdivision application will be reviewed by the Grayson County Planning Commission at their regular monthly meeting. A site plan, this application and the required fee of must be received at least one week prior to the meeting date. The meeting date will be . The procedures for review and the requirements of the survey/site plan are available for review by referencing the Grayson County Subdivision Ordinance. No lots shall be marketed, sold or developed until final approval is given by the Planning Commission. All subdivision plats shall be recorded in the Clerk of Court within six (6) months of approval. All applications require approval by the Virginia Department of Health and the Virginia Department of Transportation as shown by the representing signature on the final plat. These agencies should be consulted prior to final review of the Subdivision by the Planning Commission. The potential of the site for the ability to meet all local, state and federal requirements should be evaluated prior to applying for the Subdivision. Erosion and Sediment Control Plans may be required prior to any grading. Proposed new streets/infrastructure must be completed prior to the final review or a performance bond or other item of surety must be submitted as required. The applicant or a representative must be present at the meeting(s) for which the application is considered. If the decision of the Planning Commission is to be appealed, the applicant should submit an appeal of the decision per State Code of Virginia, 1950, as amended.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 and/or official consultants to visit my site for necessary review and inspection of the Subdivision. I understand the requirements for subdivision review and approval as listed in the Grayson County Subdivision Ordinance.Date* MM slash DD slash YYYY Signature (Property Owner)* Email* Download (PDF, 35KB)
