HomeMy WebLinkAboutSDP201800082 Application 2021-07-16Application for
Letter of Revision
M Letter of Revision = $118.86 + Technology Fee 4% of each transaction
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: SDP2018-00082 Oak Hill Convenience Store
Contact (who should we contact about this project) Justin Shimp, Shimp Engineering, P.C.
Street Address 912 E High Street
City Charlottesville State VA Zip Code 22902
Phone Number 434-227-5140 Email justin@shimp-engineering.com
Owner of Record Siddh LLC
Street Address 1096 Foxvale Lane
City Charlottesville State VA Zip Code 22902
Phone Number Email
Applicant Same as Owner
Street Address
Phone Number
SUBMITTAL REQUIREMENTS:
12 The appropriate fee,
2 The site plan number that the change applies to,
2 A request letter describing the proposed changes from the owner or authorized agent,
2 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 my knowledge and belief.
Signature of Owner, Agent
Rachel Moon
07/16/2021
Date
434-227-5140
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 7/1/2021 (Fee Update) Page 1 of 1