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HomeMy WebLinkAboutSDP199700111 Application 2021-12-02Application for Letter of Revision 0 66 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: Forest Lake North Commercial Area SDP1997-00111 Contact (who should we contact about this project) Shimp Engineering Street Address 912 E High Street City Charlottesville state VA Zip Code 22902 Phone Number (434) 227-5140 Email stephanie@shimp-engineering.com Owner of Record whitewash LLC Street Address P.O. Box 1607 City Charlottesville State VA Zip Code 22902 Phone Number (434) 293-6157 Email radern@tigerwash.com Applicant Shimp Engineering Street Address 912 E High Street City Charlottesville State VA Zip Code 22902 Phone Number (434)227-5140 Email stephanie@shimp-engineering.com ® 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 Slte plan, or on an 11"XI7" 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 kn ledge and belief. 12/01/2021 Signature-ofgignattTre—of Owner, Agent Date FOR OFFICE USE ONLY LOR # Fee Amount $ Date Paid By who? 227-5140 Receipt # 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