SP202200029 Application 2023-03-07Resubmittal of information for
Special Use Permit
PROJECT NUMBER THAT HAS BEEN ASSIGNED: SP2022-29 Crozet Mobile Home Community (formerly Park Road
Manufactured Home Paz
Owner/Applicant Must Read and Sign
I hereby certify that the information provided With this resubmittal is what has been requested from staff
N Agent
Signature of Owner, Contract Purchaser
Rachel Moon, Shimp Engineering, P.C.
03/06/2023
Date
434-227-5140
Print Name Daytime phone number of Signatory
FEES to be paid after application
For original Special Use Permit fee of $2,366
El
First resubmission (TO BE PAm WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
Free
❑
Each additional resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
$1,183
❑
4% Technology surcharge
$47.32
TOTAL SPECIAL USE PERMIT RESUBMISSION FEE
$1,230.32
For original Special Use Permit fee of $1,183
❑
First resubmission (TO BE PAm WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
Free
❑
Each additional resubmission (TO BE PAID WHEN THE RESUBMISSION IS MADE TO INTAKE STAFF)
$592
❑
4% Technology surcharge
$23.68
TOTAL SPECIAL USE PERMIT RESUBMISSION FEE
$615.68
FOR OFFICE USE ONLY Fee Amount $ Date Paid By who?
Receipt # Ck# By:
County of Albemarle
Community Development Department
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 7/1/2021 Page 1 of 1