HomeMy WebLinkAboutSDP201100055 Application Letter of Revision 1 2011-09-19Aplication for
1
Letter of Revision
❑ Letter of Revision = $100
Final Site Plan Name and Number:
Contact Person (Who should we call /write concerning this project ?): CHRIS PAPPAS, LS
Address 6290 CENTENNIAL RD. City BLACKSBURG
Daytime Phone 5( 40) 639 -0099 Fax # L_)
Owner of Record FROELING & ROBERTSON, INC
State VA Zip 24060
E -mail PAPPAS @GRNNEFORESTSURVEYS.COM
Address 6181 ROCKFISH GAP TURNPIKE City CROZET State VA Zip 22932
Daytime Phone 4( 34 ) 823 -5154 Fax # �_) E -mail TARR]NGTON @FANDR.COM
Applicant (Who is the Contact person representing ?): TRACY ARRINGTON OF FROELING & ROBERTSON, INC
Address 6181 ROCKFISH GAP TURNPIKE City CROZET State VA Zip 22932
Daytime Phone (434) 823 -5154 Fax # �)
SUBMITTAL REQUIREMENTS:
❑ 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,
E -mail TARRINGTON @FANDR.COM
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❑ Changes must be shown on the sheet or sheets from the approved final site plan, or on an 11 "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 kno eiedge and belief.
Signature of Own Agent Date
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rrmt name
number of
FOR OFFICE USE ONLY Q LOR # / u
Fee Amount $ t'� Date Paid 9 -� ] By who? (i�� A�+ Receipt # � 7 q9) Ck# da °Zy By:
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Countv of Albemarle Department of Communitv Develonment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
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