HomeMy WebLinkAboutSDP201900072 Application 2021-06-11Application for
Letter of Revision
U 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: Beaver Creek Medical Office Building (SDP201900072)
Contact (who should we contact about this project) John Thier (Turner Enterprises)
Street Address 250 West Main Street, Suite 201
City Charlottesville State VA zip Code 22902
Phone Number (434) 533 - 0788 Email John@turner-enterprises.com
Owner of Record 2246 - 2248 Ivy Road LLC
Street Address 2246 - 2248 Ivy Road
City Charlottesville st.& VA
Phone Number Email
Applicant John Thier (Turner Enterprises)
22903
Street Address 250 West Main Street, Suite 201
City Charlottesville State VA zip Code 22902
Phone Number (434) 533 - 0788 Email John@turner-enterprises.com
SUBMITTAL REQUIREMENTS:
® 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 I I'WIT' copy of that portion of the approved
final Site olan.
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 rrly knowledge and belief.
Signature of Owner, Agent Date
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