HomeMy WebLinkAboutSDP199800053 Application 2021-03-10Application for
Letter of Revision
is
IVJ 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: SDP1998-53
Contact (who should we contact about this project) Stephen Osborne
Street Address 32 Mill Creek Dr.
City Charlottesville State VA Zip Code 22902
Phone Number 785-862-2100 Email Permits@OsborneCM.com
Owner of Record The Rosemyr Corporation
Street Address P.O. Box 108
Henderson
NC
Phone Number Email
Applicant Stephen Osborne
27536
Street Address 3310 SW Harrison St. Topeka, KS 66611
City Topeka State KS Zip Code 66611
Phone Number 785-862-2100 Email Permits@OsborneCM.com
SUBMITTAL REQUIREMENTS:
0 The appropriate fee,
0 The site plan number that the change applies to,
0 A request letter describing the proposed changes from the owner or authorized agent,
0 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 11"XIT' 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.
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Signature of Owner, Agent
Osborne
03/10/2021
Date
785-862-2100
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