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HomeMy WebLinkAboutSDP000000333 Application 2021-06-25Application 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: SDP000000333 Southside Intermediate School Contact (who should we contact about this project) Montle Breeden Street Address 401 McIntire Road, Suite 400 City Charlottesville State VA zip Code 22902 Phone Number 434-872-4501 EXT 3423 Email mbreeden2@albemarle.org Owner of Street Address 401 McIntire Charlottesville of Albemarle School Board WA Suite 400 VA Phone Number Email Daniel Hver - Line and Grade 22902 Street Address 113 4th St NE STE 100 City Charlottesville State VA zip Code 22902 Phone Number 434 262 0169 Email dhyer@line-grade.com SUBMITTAL REQUIREMENTS: ® The appropriate fee, 0 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 11"X1T' 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. cjr�c 06/25/21 Signature of Owner, Agent Date Daniel Hyer 434 262 0169 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