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In order to process your building permit the following items must be submitted if applicable. Failure to submit a complete package shall result in a delay in approving and releasing the permit.

• A failed inspection shall be subject to a re-inspection fee in accordance with the Town Fee Schedule. All re-inspection fees must be paid prior to future inspections.

Zoning application is hereby made for a sign in accordance with the description and for the purpose set forth herein. This application is made subject to all Town and State laws and regulations, which are hereby agreed to by the undersigned and which shall be a condition of this permit.

Please fill out this form completely.

If yes, please provide (on a separate piece of paper) the size (height, width, & length) of any existing sign(s). Also, using an existing plat show the location of the existing sign(s), including distances to all property lines (front, sides(s) & rear).

Please provide cut-sheets for the proposed sign(s) including colors, logos and wording to be on the sign.

Please provide as an attachment the construction details for the proposed sign. We will need two sets of construction plans. One sheet of the construction plan shall be survey of the property (plat) showing all existing improvements and proposed improvements and sign locations.

I certify that all licenses and certifications required by the State of Virginia and the Town of Colonial Beach are current at the time of application. Please notify this office immediately of any changes to the above-noted subcontractors. A complete list of subcontractors will be submitted prior to first inspection.

I hereby certify that I have the authority to make the foregoing application, that the information given is correct, including any attached plans or drawings, and that all construction will conform to all applicable state and town laws, ordinances and regulations with regard to zoning, environmental, health and building. Failure to do so shall automatically render this permit invalid. I understand that construction requires a zoning permit issued by the Colonial Beach Department of Planning & Community Development. I understand that construction must commence within 6 months of the issuance of this permit or the permit is rendered void, subsequent inspections must comply with Section 110.6 (Abandonment of Work) of the Uniform Statewide Building Code. I further understand that the land may not be used or occupied, and buildings structurally altered or erected may not be used or changed in use, until the Certificate of Occupancy is issued. I further permit Town officials or any other governmental agency representatives to enter the property to ensure that the property is being constructed in compliance with all governmental regulations; local, state and federal and that any proffered conditions have been and continue to be implemented. Revocation of Permit: The zoning/building official may revoke a permit or approval issued under the provisions of the Zoning Ordinance/USBC in case of any false statement, misrepresentation of fact or incorrect information supplied by the applicant in the application or construction documents on which the permit or approval was based. I also acknowledge that it is my responsibility to obtain any stormwater permit from the Commonwealth of Virginia - Department of Environmental Quality.

This affidavit must be completed prior to permit issuance. Attach copy of Virginia license and tradesman certification card and town business license below.