Official Zoning Amendment Request Form and Checklist Revised 3/2018 Page 1 of 4 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Comprehensive & Coastal Zone Planning St. Croix St. Thomas/St. John 340-773-1082 340-774-3320 Official Zoning Map Amendment Request Form Zoning Amendment Request is for: Rezoning Use Variance 1. Applicant ___________________________________________________________________________ Mailing Address _____________________________________________________________________ City ____________________________ State _________________ Zip ____________________ Telephone ____________________ E-mail ________________________________________________ Note: Official correspondence will be mailed to the address above 2. Contact Person/Representative __________________________________________________________ Telephone ____________________ E-mail ________________________________________________ 3. Property Address _____________________________________________________________________ 4. Tax Assessor’s Parcel I.D. Number _______________________________________________________ 5. Current Zone __________________ Proposed Zone or Use Variance ___________________________ 6. Site Acreage ___________________ Office Use Only Date Application Received: _______________________ Reviewed by: __________________________________ Date Application Deemed Complete: _______________ Date of Pre-Application Meeting:___________________ Date Application Fee Paid: _______________________ Tracking No. ZA________________________________ 8-26-2024 LEIA LAPLACE 12-15-2022 N/A Official Zoning Amendment Request Form and Checklist Revised 3/2018 Page 2 of 4 Property Owner(s)_____________________________________________________________________ Address ____________________________________________________________________________ City ________________________ State _______________ Zip ________________ Telephone ___________________ Email________________________________________________ Detailed Description of what exists on the property. __________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Does what exist on the property conform to its current zoning district’s requirements? _____Yes _____No Detailed Description of Proposal: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Is the property served by municipal sewer lines? Yes _____ No _____ If no, please explain plan for sewage disposal. ______________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Is the property served by municipal water lines? Yes _____ No _____ If no, please explain plan for water supply. _________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Are there any flood ways on the site? Yes _____ No _____ Are there any cultural/historical resources on site? Yes _____ No _____ If yes, describe how the cultural/historical resource(s) will be incorporated into the development. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Are there any covenants and restrictions of record on the property? Yes _____ No _____ If yes, provide a copy of the restrictions. Do they preclude undertaking of the uses that are proposed? Yes ____ No _____ Official Zoning Amendment Request Form and Checklist Revised 3/2018 Page 3 of 4 Required Submittals One electronic copy of this application along with every item in the checklist below or Two printed copies of this application along with two copies of every item in the checklist below: One (1) Copy for submission to the Division of Comprehensive and Coastal Zone Planning One (1) Copy for submission to the Legislature Printed documents shall be submitted on letter-sized paper (8.5” x 11”). One copy of the Official Recorded and Numbered PWD/OLG Map shall be submitted on letter-sized paper. Maps, Surveys, Plans, and Renderings shall be submitted in a format no larger than 24” x 36”. Letter of Application- Address letter to the Senate President; Indicate name of property owner(s) and authorized agent(s) with mailing addresses and contact numbers, legal physical address and acreage of parcel(s) to be rezoned, current and requested zone, and specific intent for zoning map amendment. Official Recorded and Numbered PWD/OLG Map (Obtained from and certified by the Office of the Lieutenant Governor, Cadastral Division, St. Croix 773-6449; St. Thomas 774-9906) Adjacent Property Owners Certification- List of complete names, mailing addresses and plot numbers of all adjacent property owners extending a minimum radius of one hundred and fifty (150) feet from the boundary line of the subject property. (Obtained from the Office of the Lieutenant Governor, Tax Assessor Division, St. Croix 773-6459 or 772-3115; St. Thomas 776-8505; St. John 776-6737). Recorded Deed (Include copy of covenants and restrictions referenced in deed; obtained from the Office of the Lieutenant Governor, Recorder of Deeds, St. Croix 773-6449; St. Thomas 774-9906) Real Property Tax Clearance Letter (Obtained from the Department of Finance, St. Croix 773-1105; St. Thomas/ St. John 774-4750) Contract of Sale and/or Lease Agreement (if applicable) Power of Attorney (Notarized Power of Attorney required if applicant/representative is not the property owner(s) of record or if property is owned by more than one person.) Articles of Incorporation (required if the property is owned by a Corporation) Photographs (Depicting intervals along the perimeter of the property, its existing on-site conditions, and surrounding neighborhood) Conceptual Site Plan and/or As-built drawing- At a minimum scale of 1 inch = 40 feet and includes the following: _____ Conceptual layout of the property. _____ Existing/proposed building locations and footprint. _____ Location of uses and open spaces. _____ Location of watercourses (guts) and existing/type of vegetation on the site. _____ Location of existing/proposed street and driveways, accesses, and circulation patterns. _____ Current use and zoning of the site and adjacent property. Official Zoning Amendment Request Form and Checklist Revised 3/2018 Page 4 of 4 _____ Landscape design and screening/buffering plan. _____ Proposed lot size/density and setback. _____ Proposed development timing. PLEASE NOTE: Submission of the requested information is a prerequisite for a pre-application meeting and does not constitute the submission of an application to the Legislature for a Zoning Map Amendment or Use Variance. A determination that an application is complete IN NO WAY implies that additional information may not be required. I/We attest that the information submitted on this form is a true and accurate representation of my/our development plan(s) for the property. Print ___________________________________________________________ Sign ____________________________________________________________ Date ____________________________ Print ___________________________________________________________ Sign ____________________________________________________________ Date ____________________________