HomeMy WebLinkAboutSDP202200037 Application 2023-03-27Application for
Letter of Revision
11
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.
A completed application and all supplemental documents should be submitted via the Community Development Apply for Pane. ljpaper is the only option,
then one copy of a completed application and all supplemental documents my be provided
Final Site Plan Name and Number: SDP202200037
COntaCt (who should we contact about this project) Bryan Cichocki
Street Address 608 Preston Avenue Suite 200
City Charlottesville StateVA Zip Code22903
Phone Number 434-327-5380 Email bryan.cichocki@timmons.com
Owner Of Record Riverside MC Owner, LLC
Street Address C/O Altus Group PO Box 92129
CitySouthlake StateTX Zip Code76092
Phone Number 202-780-1802 Email matt@cascaderp.com
AppiicantTimmons Group (Same as above)
Street Address
City State Zip Code
Phone Number Email
SUBMITTAL REQUIREMENTS:
0 The appropriate fee,
M The site plan number that the change applies to,
M 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 I I' 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.
CJ�Z ea 3121 /2023
Signature of Owner, Agent Date
Matt Clinebell 412-215-2174
Print Name Daytime phone number of Signatory
FOR OFFICE USE ONLY LOR #
Fee Amount $ Date Paid By who? Receipt # Cldl 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