HomeMy WebLinkAboutWPO201600082 Bond 2017-03-28 E. RancfallRalston, P.C.
Attorneys at Law
943 Glenwood Station Lane Suite 101
Charlottesville, Virginia 22901
Phone: (434)817-1040
E. Randall Ralston Facsimile:(434)220-4894
John S. Ralston email:randv@ralstonpc.com
March 28, 2017
Ms. Ana Kilmer, Management Analyst
Albemarle County Community Development
401 McIntire Road
Charlottesville, Virginia 22902
RE: Request To Establish Bond
Plan#: WP02016000082
Project Name: 5th Street Commercial Development
Dear Ana,
Enclosed please find an executed original Request To Establish Bond application, along
with a check made payable to the County of Albemarle in the amount of$250.00.
Once the Bond estimate is complete, please e-mail it to me at: randy@ralstonpc.com,
Should you have any questions concerning the enclosed,please do not hesitate to contact
me directly.
Sincerely,
E. Randall Ralston
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REQUEST TO ESTABLISH A BOND O—
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APPROVED PLAN# P 6 20 / (7 ®Q 0 2 -
PROJECT NAME: �1 6�C & — CovAgtiVrKi e ) LA2
(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/PARCELs: --S,S I OWNER'S ► 4 ME:F T V Z 51 1/4i q, J LLC
SIGNATURE itelei ttgte: 3 1 0/V--
TAX MAPs/PARCELs: 4 iv) r -/ OWNER'S ME: T Li' ter! (-
SIGNATURE: � \Jn .IIt ., bli ttirilate:3 ) 231 ZO1 7`Z
TAX MAPs/PARCELs:7 6 OWNER'S NAME:i I v 2j`/ 1-1, C -6 LL
SIGNATURE: Cy 4,;4 I et/ date: 3)Z'] Z33/7
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.
The requested estimates are;
❑ VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207; $0 fee
VSMP Erosion and Sediment Control, Stonnwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
&Water&Sewer per Subdivision Ordinance section 14-435;$250 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: C 4 V > (''<1 P< , Apr . .
OR REGULAR MAILf ADDRESS:
Revised 6/20/2014
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County of Albemarle 10 884 0
Department of Community Development /
PH: (434)296-5832 Date 7 q-
RECEIVED FROM: 1 - a.v Q(/�.k e f s 7• ,6
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AMOUNT: ::,/a //c.e 4/4 $ 15'D
3`ts
307 308 7C:, a..S-0 510 (-NO
For: cash
£'✓Y" 0 via /C 6 6 D Q- _ credit card
By /(k1717