Rezoning Application - Bedford County, Virginia

Bedford CountyRezoning ApplicationPlease print in blue or black ink or typewrite. If not applicable, write N/A.APPLICANT INFORMATIONPage 2 of 3Note: If applicant is not the property owner, an owner’s authority letter must be submitted with application.Applicant Name:Address:Phone: Fax: Email:Property Owner Name:Address:Phone: Fax: Email:Authorized Agent/Contact Person:Address:Phone: Fax: Email:Engineer:Address:Phone: Fax: Email:PROJECT INFORMATIONLocation/Address of Property (directions from Bedford County Administration Building):Tax Map Number(s):Magisterial District:Election District:Size of Parcel(s): In acres In sq. ft.Amount of area to be utilizedCurrent Zoning District Classification of parcel(s):Proposed Zoning District Reclassification of parcels(s):Current Land Use:Proposed Land Use (identify by Permitted Use Table, Zoning Ordinance Sec. 30-79-2):Future Land Use Map Designation of parcel(s):Please describe the proposed use and development of the identified parcel(s) and/or purpose of the rezoning request.Are Proffers proposed? ( )Yes ( ) NoIf Yes, please obtain Proffer Statement from staffBedford County Department of Community Development122 East Main Street, Suite G-03 ● Bedford, VA 24523 ● Phone (540) 586-7616 ● Fax (540) 586-2059 4/8/15

Page 3 of 3JUSTIFICATION FOR REZONINGThe Planning Commission will study the rezoning request to determine the need and justification for the change in terms ofpublic health, safety and general welfare. Please answer the following questions as thoroughly as possible. Attach additionalpaper if necessary.Please explain how the request furthers the purposes of the Zoning Ordinance (Section 30-3) as well as the purposefound at the beginning of the applicable zoning district classification in the Zoning Ordinance.Please explain how the project conforms to the general guidelines and policies contained in the Bedford CountyComprehensive Plan.Please describe the impact(s) of the request on the property itself, the adjoining properties, and the surrounding area aswell as the impacts on public services and facilities, including water/sewer, roads, schools, parks/recreation andfire/rescue.CERTIFICATIONI hereby certify that this application is complete and accurate to the best of my knowledge, and I authorize Countyrepresentatives entry onto the property for purposes of reviewing this request.Owner/Agent Signature:Date:Print Name:Bedford County Department of Community Development122 East Main Street, Suite G-03 ● Bedford, VA 24523 ● Phone (540) 586-7616 ● Fax (540) 586-2059 4/8/15