Please complete the following form to request a pre-application meeting. If you have any questions on completing this form, please contact the Plan and Document Control Section at 703-324-1730, TTY 711.

Contact Information

*Organization name:

Organization Telephone:

*Organization Address:
 

*Requestor name:

*Requestor Title:

*Email Address:

Property Location

*Property Address:
 

Tax Map Number:

Magisterial District: Choose District Braddock Dranesville Hunter Mill Lee Mason Mount Vernon Providence Springfield Sully

Property Information

Does your organization currently occupy the property? Yes No

Who currently owns the subject property?

What is the total area of the property?

What is the current zoning of the property?

Are there any known covenants or restrictions on the property? Yes No

Structure Information

Describe any existing buildings on the subject property:
 

To what extent do you anticipate keeping any of these structures?
 

Decsribe any new building construction you propose:
 

Decsribe any other facilities you propose to construct:
 

Use Information

What is the current use of the subject property?

Is there a Special Permit or Special Exception associated with this use? Yes No

What is the proposed use of the subject property?

Will a Special Permit or Special Exception be required for this use? Yes No

Describe the proposed use of the property in terms of:

• Total area of the building(s):
• Seating capacity or # of students proposed:

Additional Information

List any specific issues you would like to discuss at the Pre-Application meeting or any
questions you may have regarding the county's codes, regulations, or processes:
 

* Required fields