HomeMy WebLinkAboutSDP201100044 Application Letter of Revision 1 2011-08-16A,.
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FOR OFFICE USE ONLY LOR #
Fee Amount $�� Date Paid "110 -) [ By who? n eceipt # Ck#
Application for
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etter of Revision
Letter of Revision = $100
Final Site Plan Name and Number: SOP 19% - w6
Contact Person (Who should we call /write concerning this project?):
Address 1 An cP c � -- Gf -o'-3 ;- City Sjyr -N'jA V A State ��-J Zip
Daytime Phone - 4% Fax # E -mail �� i
Owner of Record
Address ff State r
w City ���sv, /�f- lrZip���d
Daytime Phone (_ )
Applicant (Who is the Contact person representing ?):
Fax # U
E -mail
Address City
Daytime Phone Fax # E -mail
SUBMITTAL REQUIREMENTS:
O 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,
State Zip
❑ Changes must be shown on the sheet or sheets from the approved final site plan, or on an I F'XIT' 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 he best of my knowledge and belief.
Signature o Owner, Agent Date
Print Name Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 1/1/2011 Page I of]
M
8/15/11
This letter is to request a letter of revision to increase the Fontana pool deck expansion by
256 sq. ft. We are only requesting to expand the concrete slab, the picnic shelter will
remain the same size. See attached plans for size and location.
Darren Kiesler
DK Design Build
206 - 384 -6734