HomeMy WebLinkAboutSDP202000017 Application Letter of Revision 1 2022-03-18Application 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: 2511 Avinity Drive - SDP202000017
Contact (who should we contact about this project) Shimp Engineeri
Street Address 912 East High St
City Charlottesville State VA
Phone Number 434-299-9842
Owner of RecordJames "Jason" R.Moss
Street Address 1799 Avon Street
City Charlottesville State VA
Phone Number
Applicant same as contact
Street Address
City
Phone Number
SUBMITTAL REQUIREMENTS:
- Keane Rucker
Zip Code 22902
Email Keane@shimp-engineering.com
Zip Code 22902
jasonrmoss75@gmail.com
V The appropriate fee,
R The site plan number that the change applies to,
M A request letter describing the proposed changes from the owner or authorized agent,
R 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 1 l"X17" 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 a belief.
03-16-2022
Signature of Owner, Agent Date
Keane Rucker
Print Name
FOR OFFICE USE ONLY LOR #
Fee Amount $ Date Paid By who?
434-299-9842
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/l/2021 (Fee Update) Page 1 of 1