HomeMy WebLinkAboutSDP201100032 Application Letter of Revision 1 2012-08-27 'a- Application for �,T
Letter of Revision ,•,im.r.As
® Letter of Revision=$100
Final Site Plan Name and Number Greenbrier 7-Eleven, Minor Site Plan Amendment-SDP201100032
Contact Person(Who should we call/write concerning this project?): Frank V. Pohl, PE
Address 1603 Kenwood Lane City Charlottesville State VA Zip 22901
Daytime Phone(434-466-7458 Fax#( ) E-mail frank@pohlconsultingllc.com
Owner of Record Greenbrier Real Property LLC
Address 200 Carlton Road City Charlottesville State VA Zip 22902
Daytime Phone( 434-293-6157 Fax#(434,293-3701 E-mail suttong@tigerfuel.com
Applicant(Who is the Contact person representing?): Same as Owner
Address City State Zip
Daytime Phone( ) Fax#( ) E-mail
SUBMITTAL REQUIREMENTS:
NI The appropriate fee,
® The site plan number that the change applies to,
Di A request letter describing the proposed changes from the owner or authorized agent,
® 4 copies of the plan that shows the proposed changes,
® Changes must be shown on the sheet or sheets from the approved final site plan,or on an 11"X1 T'copy of that portion of the
approved final site plan.
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate,true and correct to the
best of m knowledge and beli�e.
_l_<..., August 27,2012
Signature of Owner,al ent Date
Frank V.Pohl 434 `t 6 - 7 Y5-Q
Print Name Daytime phone number of Signatory C/
FOR OFFICE USE ONLY /� �} LOR#
Fee Amount$ t�'1>a Date Paid(J.`q.t.By who?Pa(c) ( C n ll'1itY3 Receipt# `Tip Ck# 1 i" ' By: 1 1"tel./
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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