It is important to provide as much detail as possible so that your request can be quickly processed. After you have completed this form, please click Submit to sent it to the FCCSA office for review.

Requesting Party Information

List all existing components that have a foundation, gravel base, or cement.

House Foundation and Garage (Sq Ft.)
Driveway and Walks (Sq Ft.)
Existing Storage Shed (Sq Ft.)
Total Lot (Sq Ft.)

List Modification(s)

Proposed (Sq Ft.)
Proposed (Sq Ft.)
Proposed (Sq Ft.)
Proposed (Sq Ft.)
Proposed (Sq Ft.)
Proposed (Sq Ft.)

Total area of improvements on the lot (Sq Ft.)
The coverage % on this property with all proposed improvements totals. (%)

* By checking this box the Entity/ Contact Person acknowledges that the information is true and correct. Applicants providing payment and personal information must agree to share the information willingly to the FCCSA and trust the information will be treated with respect and is kept confidential. Information is used only for the "Lot Coverage Form" and by no means makes the First Colony Community Services Association responsible for additional debt or liability of the applicant.