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Home My WebLink AboutSDP199800001 Application 2022-11-14Application for Letter of Revision ID 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. completed app6cadon and altsupplemental documents should be submitted via the Community Development Apply for Hasa. Ifpaper is the only option, then one copy of completed application and all supplemental documents may be provided vinal Site Plan Name and Number: SDP 199800001 Contact (who should we contact about this Droiect) Jason L, Street Address 1500 Huguenot Rd. Suite 101 Midlothian VA 13 Phone Number 540-589-3325 Email Jhome@ckbosworth,com l owner of RecordTimothy Finkler Street Address 3107 Hungary Spring RD CitvRichmond State VA ztoCode23228 I Phone Number 804-564-9809 i ApplicantCK Bosworth Construction I Street Address 1500 Huguenot RD. Suite 101 CityMidlothian State VA ZipCode23113 Phone Number 540-589-3325 Email Jhome@ckbosworth.com SUBMITTAL REOUIREMENTS: ® 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 site plan, or on an 11"Xl7 copy of that portion of the approved final site plan. Owner/Applicant Must Read and Sign I hereby certify that the i ormation provided on this application and accompanying information is accurate, true and correct to the best of my know) ge ief. 11/14/2022 Signs re of Agent Date Ja on Horne 540-589-3325 Print Name Daytime phone number of Signatory FOR OFFICE USE ONLY LOR # Fee Amouat $ Date Paid By who? By: Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 REVISED 8/15/2022 Page 1 of 1