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