HomeMy WebLinkAboutWPO200800037 Bond WPO VSMP 2018-09-14 internal t-m.
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Intake: Forward to Management Analyst
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REQUEST TO ESTABLISH A BOND (-) ,t,v1-
APPROVED PLAN #WPO200800037
PROJECT NAME: Earlysville Business Park
(As listed on the approved plan)
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 information must be correct, and plans must be
approved prior to bond estimates being prepared.
TAX MAPs I PARCELs: 31-A-21A OWNER'S 1E: 4F, LLC
SIGNATURE: IM/412date:
TAX MAPs r'PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs PARCELs: OWNER'S NAME:
SIGNATURE: date:
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 of legal entity or organization
including, but not limited to the name of corporation, partnership, limited liability company,
trust, association, etc., documents acceptable to the County must be submitted certifying that
the person signing above has the authority to do so.
"Tie requested estimates are;
VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207: SO fee
67J VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; 5250 fee required
Ll Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435:
& Water& Sewer per Subdivision Ordinance section 14-435; 5269 fee required
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide
Contact information.
EMAIL: JFIoSPJ( IJ P6fivt,L coi — tPGroste `kd I mco-61
OR REGULAR MAIL ADDRESS:
Re ised 6,°21.1:'2014. 1 .;:21)15