HomeMy WebLinkAboutSDP202100019 Application Letter of Revision 1 2022-03-01Application for
Letter of Revision
W 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: SOUTHWOOD REDEVELOPMENT -VILLAGE ONE SDP2021-00019
Contact (who should we contact about this project)
Street Address 871 JUSTIN DRIVE
PALMYRA
Phone Number 434-242-2866
30 SCALE, LLC, ATTN: MICHAEL MYERS, PE, CFM
VA zip code 22963
Email mike@30scale.com
Owner of Record SOUTHWOOD CHARLOTTESVILLE, LLC
Street Address 967 2ND ST SE
City CHARLOTTESVILLE state VA Zip Code 22902
Phone Number 609-651-6404 Finait wthiessen@cvillehabitat.org
SAME AS OWNER
Street Address
Phone Number
SUBMITTAL REOUIREMENTS:
The appropriate fee,
® The site plan number that the change applies to,
Idl A request letter describing the proposed changes from the owner or authorized agent,
IQ 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 I1"XIT' copy of that portion of the approved
fmal 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 owlleedge an~
Sign of Owner, Agent
lout/ 67. Z �4WD
Print Name
FOR OFFICE USE ONLY LOR #
Fee Amount $ Date Paid By who?
Date T
�3s�) z�3' 9oG6
aytime phone number of Signatory
Receipt#
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