HomeMy WebLinkAboutSDP201500009 Application Letter of Revision 1 2015-11-20 Application for
Letter of Revision ve
® Letter of Revision =$108
Final Site Plan Name and Number: Fifth Street Station-Overall Phase II (SDP-2015-009)
Contact (who should we contact about this project) Daniel R. Hines, P.E.
Street Address 28 Blackwell Park Lane, Suite 201
City.Warrenton State VA Zip Code 20186
Phone Number 540-349-4500 Email dhines@bohlereng.com
Owner of Record 5th Street Station Ventures, LLC.
Street Address 5B SW Broad Street, Suite B
city.Fairburn State GA Zip Code 30213
Phone Number 770-692-8300 Email dan@sjcollinsent.com
Applicant 5th Street Station Ventures, LLC.
Street Address 5B SW Broad Street,Suite B
City.Fairburn State GA Zip Code 30213
Phone Number 770-692-8300 Email dan@sjcollinsent.com
SUBMITTAL REQUIREMENTS:
11' The appropriate fee,
ll' The site plan number that the change applies to,
V�,/ A request letter describing the proposed changes from the owner or authorized agent,
UQ 4 copies of the plan that shows the proposed changes,
Changes must be shown on the sheet or sheets from the approved final site plan,or on an 11"X17"copy of that portion of the approved
final site plan.
Ownei/Applicant Must Read and Sign
I hereby_certifYthatthe information provided on this application and accompanying information is accurate,true and correct to the best
-of lui ledge a d belief.
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na ire of Owner,Agent ` Date 111
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Print Name -� } Daytime phone number of Signatory
FOR OFFICE USE ONLY LOR#
Fee Amount$i v 5.-C1u Date Paid JO-cj//S By who? I�7
Vi (-e./ Receipt fit 7 - —1 Ck# c9'76 I By: ACC
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County of All�rnarl@
Department of Community Development
401 Mclntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
REVISED 11/02/2015 Page 1 of 1