HomeMy WebLinkAboutSDP201000072 Application Letter of Revision 1 2011-08-26Application for't`y
Letter of Revision
® Letter of Revision = $100
Final Site Plan Name and Number: AVINITY
Contact Person (Who should we call /write concerning this project ?): SCOTT COLLINS - COLLINS ENGINEERING
Address 2 0 0 GARRETT ST SUITE K
City CHARLOTTESVILLE State VA Zip 22902
Daytime Phone( 34- 293 -3719 Fax# 43 293 -2813 scott @collins -en ineerin
(� - E -mail g g . cc
Owner of Record AWN_
Address 1 City `, [A l ( '( State � Zip
Daytime Phone (__)
Applicant (Who is the Contact person representing ?):
Address
Daytime Phone O
Fax # O
Fax # (__)
City
E -mail
State Zip
E -mail
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,
Changes must be shown on the sheet or sheets from the approved final site plan, or on an 11 "X 17" copy of that portion of the
approved final site plan.
Owner /Applicant Must Read and Sign
I hereby certify that the in rmation provided on this application and accompanying information is accurate, true and correct to the
best of my knowledge an belief.
Signature of Owner, Age Date
SCOTT COLLINS ZI 3 3'11 9
Print Name
FOR OFFICE USE ONLY *By OR #
Fee Amount $000 Date Paid who?
e phone number of S
# Ck#
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
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