HomeMy WebLinkAboutSDP200000102 Application Letter of Revision 1 2022-11-28Application for
Letter of Revision
(ED
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.
A completed application and all supplemental documents should be submitted via the Canmtmin• Perelopment anpir for Poee. lfpaper is the only option,
then one copy o a completed application and all supplemental documents maybe provided.
Final Site Plan Name and Number: SDP200000102
Contact (who shouldwe contact aboutthis project) Timmons Group Craig Kotarski, PE
Street Address 608 Preston Ave, Suite 200
City Charlottesville Stale Virginia Zip Code 22903
Phone Number 434-327-1688 Email Craig.Kotarski@timmons.com
Owner of Record
Street Address
City State Zip Code
Phone Number Email
Applicant
Street Address
City State Zip Code
Phone Number Email
SUBMITTAL REQUIREMENTS:
I!] The appropriate fee,
A] The site plan number that the change applies to,
R] A request letter describing the proposed changes from the owner or authorized agent,
A] 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"X1T' 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.
w . 11 /23/2022
�.
gn�f ature of Owner, Agent Date
Jessica Denko 434-327-1688
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY LOR #
Fee Amount $ Date Paid By who? Receipt N Ck# By:
Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
REVISED 8/15/2022 Page 1 of 1