HomeMy WebLinkAboutSP202100009 Other 2021-05-17FOR OFFICE USE ONLY SP #
Fee Amount $ Date Paid Be mho? Receipt # Ck# By:
. K'.iai
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Resubmittal of information for R�`_i
Special Use Permit '>M,
PROJECT NUMBER THAT HAS BEEN ASSIGNED: 5A?0 Z 1 O0 o o 1
Owner/Applicant Must Read and Sign
I hereby certify that the information provided with this resubmittal is what has been requested from staff
ZIm// L
Signature of Owner, Contract Pure er
�M,4-r(H&�U A � y
Print Name
5-. 1-7. Zo 21
Date
`f34- q81. 3ZZ5
Daytime phone number of Signatory
FEES to be paid after aDplication
For original Special Use Permit fee of $1,075
❑
First resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
Free
❑
Each additional resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
$538
For original Special Use Permit fee of $2,000
❑
First resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
Free
❑
Each additional resubmission Cro BE PAm wHEN THE RESUBMISSION IS MADE TO INTAKE STA
1 $1,075
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 11/2@015 Page 1 of I