HomeMy WebLinkAboutSDP199500004 Application Letter of Revision 1 2010-07-27 Application for
Letter of Revision
• Letter of Revision=$95
Final Site Plan Name and Number: SDP-1995-04
Contact Person(Who should we call/write concerning this project?): PAT KELLY DUN RITE, INC.
Address 714 FENWAY AVE. City CHESAPEAKE State VA Zip 23320
Daytime Phone(757 ) 435-3513 Fax#(757 ) 337-0462 E-mail dunritel @hotmail.com
Owner of Record WESTERN RESTAURANTS,INC
Address 10000 SHELBYVILLE RD.SUITE 100 City LOUISVILLE State KY Zip 40223
Daytime Phone(502) 245-6623 Fax#( ) E-mail
Applicant(Who is the Contact person representing?): DUN RITE, INC.
Address 10721 KEITHWOOD PKWY City RICHMOND State VA Zip 23236
Daytime Phone(804 ) 794-3513 Fax#(804) 379-3103 E-mail dunrite@comcast.net
SUBMITTAL REOUIREMENTS:
❑ The appropriate fee,
❑ The site plan number that the change applies to,
❑ A request letter describing the proposed changes from the owner or authorized agent,
❑ 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 I1"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%owledge belief.
Signature of Owner, Date
7 y.' / 4 Q 0/ �B/-/P Jf %J
Pri name Daytime phone number of Signatory
FOR OFFICE USE ONLY r� /)LOR# 1 n�/ f rQ
Fee Amount 5'5'0 Date Paid7'G 7'/v By who? /t JZ N C Receipt f 66 Cldl26 35 B{J 1/tt ! 1 V+
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
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