HomeMy WebLinkAboutWPO201700014 Bond WPO VSMP 2018-07-11 -fnterna .e n� / 137
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Dude Received:(? / Fee Paid; OF•3�. 111 " "/G D
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Intake: Forward to: ana�emrnt wnHlya tel tr W
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REQUEST TO ESTABLISH A i3CtVD -4i )
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APPROVED PLAN ii
__WPO 20 .70 OD t —
PROJECT NAME: UV/I- t K 4-) C.0-4-e--,- p ` T---w/
(As listed on the approved plan) �l t( T'�
All parcels in the project, including any off-site work if easements are not provided, and current owners. Use a
separate sheet if more owners are required. Owner and tax map intbrmation must be correct,and plans must be
approved prior to bond estimates being prepared.
03200 - 0a -CO- o(oIGQ
TAX MAPS/PARCELS OWNER'S NAME: 01.Z6-
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SIGNATURE: '' (-sdate: 9- 'I (-Ib
4Zo0 - 00-°d -000oR-0VV
TAX MAPS/PARCELS: OWNER'S NAME: U✓Yj—
SIGNA'T'UR
03 ZOO -00 -OC7 -OU �' date: •��
'FAX MAPS/PARCELS: 0�4,
___ NE;R' ' NAME: ()V -.)>,-.1
J ' (.,i date:- •/(16
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE:
date:
TAX MAPs/PARCELS: OWNER'S NAME: ---
SIGNATURE: -
date:
NOTE: If ownership of the property is in the name of any type
anizaon
including, but not limited to the name of corporation, pa the ship legal
liability compan ,
trust, association, etc., documents acceptable to the County must be submitted certifying that
the person signing above has the authority to do so.
The requested estimates are;
O VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
V VSMP Erosion and Sediment Control, Stormwater Management and M
Protection Ordinance section 17-208; S250 fee required
❑ Subdivision (roads, drainage, etc.) per Subdivision Ordinance section I,
& Water& Sewer per Subdivision Ordinance section 141-435; S269 fee
A bond estimate will be prepared by the plan reviewer. The estimate must be sent t
contact information
,(\ brEMAIL: tmarshall uvafoundation.com „ ,,,,,,
OR REGULAR MAIL ADDRESS: 1t
FO
ifki
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Rev sed 6Q0/2014, 11!3/2015 V” 1\
7/12/2018
Centralized Payments
Ujc01CD\----\ ''' DC)( 1\IA
O Your Payment of A4 Item
Amount
Was Submitted Website Payment $250.00
�.�1(� 1t � i _ Item Number:8ADF87
t ����I Type: Community Development VSMP
Transaction ID; g4
`"~ Notes: Request to Establish a Bond
5P875612YG4205355j
Transaction 07/12/2018 04:59 Transaction Fee
Time; ^�-. $6.72
PM (.
Total Paid; �' r Total $256.72
$256.72 •
We will receive notification of your online payment at the time that it is made and
we will credit your payment as of that day. However, you wilt not see the payment
on your account for approximately 48-72 hours due to the time that it takes to get
those funds into our bank account.
haps://www.albemarlecountytaxes.org/payments/default.aspx
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