HomeMy WebLinkAboutSDP201700004 Application 2020-03-17Application for
Letter of Revision
W Letter of Revision = $108
This application may require additional review by the Fire Marshal. Fees in addition to those shown on this
application may be required as required by the Fire Prevention Code Fee Schedule. A copy of the schedule is
available from the Fire Marshal.
Final Site Plan Name and Number: OLD TRAIL BLOCKS 5, 20, & 21 SDP 201700004
Contact (who should we contact about this project) Keane Rucker
Street Address 912 East High St
City Charlottesville State VA Zip Code 22902
Phone Number 434-299-9843 Email keane@shimp-engineering.com
Owner of Record DENSTOCK OLD TRAIL LLC
Street Address 1430 ROLKIN COURT SUITE 301
City CHARLOTTESVILLE State VA Zip Code 22911
Phone Number Email david.granville@denico.net
Applicant Shimp Engineering
Street Address 912 East High St
City Charlottesville State VA
Phone Number 434-299-9843
SUBMITTAL REQUIREMENTS:
Code 22902
Email Justin@shimp-engineering.com
10 The appropriate fee,
10 The site plan number that the change applies to,
2 A request letter describing the proposed changes from the owner or authorized agent,
GO 4 copies of the plan that shows the proposed changes,
Changes must be shown on the sheet or sheets from the approved final site plan, or on an 1 l"X 17" copy of that portion of the approved
final site plan.
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best
of my knowledge and belief.
03/16/2020
Signature of Owner, Agent Date
Keane Rucker, Agent 434-299-9843
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY LOR #
Fee Amount $_ Date Paid By who? Receipt # Ck# By:
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
REVISED 4/23/2018 Page 1 of 1