HomeMy WebLinkAboutSDP201100032 Application 2022-02-07Application for
Letter of Revision
0 Letter of Revision - $118.86 + $4.75 Technology Fee = $123.61
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:
Contact (who should we contact about this project) Kelsey Schlein, Shimp Engineering, P.C.
Street Address 912 E High Street
City Charlottesville State VA
Phone Number 434-227-5140
Owner Of Record Greenbrier Real Property LLC
Street Address 200 Carlton Road
city Charlottesville
Phone Number
Applicant Same as Owner
Street Address
City
Phone Number
VA
22902
kelsey@shimp-engineering.com
® The appropriate fee,
® The site plan number that the change applies to,
0 A request letter describing the proposed changes from the owner or authorized agent,
❑ 4 copies of the plan that shows the proposed changes,
22902
Changes must be shown on the sheet or sheets from the approved final site plan, or on an I I'W IT' 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.
/12W 02/07/2022
Signature of Owner, Agent
Rachel Moon
Print Name
FOR OFFICE USE ONLY LOR #
Fee Amount $ Date Paid By who?
Date
434-227-5140
Daytime phone number of Signatory
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