HomeMy WebLinkAboutWPO201500025 Bond 2015-08-24 : C I fel /5
Internal Use Only:' iI
Sate Received: —a-�1"I S Fee Paid: o<J, , OE A�p� A • I
• Received by: en& �
Intake: Forward to Management Analyst ! u gr 16/ 2
REQUEST TO ESTABLISH A BOND pAAtto
APPROVED PLAN# WPO-2015-00025
PROJECT NAME: CMA PROPERTIES
(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: 45-173 OWNER'S NA • CMA Properties, Inc.
SIGNATURE: - date:0 8/2 4/15
TAX MAPs/PARCELs: 45-94B OWNER'S NAME: CMA Properties, Inc.
SIGNATURE: date:0 8/2 4/15
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.
The requested estimates are;
►'- VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207; $0 fee
® VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
❑ 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: pborchesecmacars.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014
County of Albemarle 101074
Department of mn Development
PH: (434Com)2u96 ity 5832 • Date D -1 -
RECEIVED FROM: +, C. M . A ? op ei l •- -tn C-
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AMOUNT: �W�3 VI v�irl-El^e-�\ ° "1r. C�U l crC� -
$ ' `j(� �;b
307 308 9`L4 a��Q7C� 510 I ecl> 7 7 C For:
I 2eC( lA 5 4— C�S}6.b/; 5 h cl �Ov� Cl case _
ltl i] d ,S ` S'-. credit I
By :�lf,
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^"- `�"�' .....'�,'�'-�"""" CASH ONLY IF ALL CHeckLockr,SECURITY FEATURES LISTED ON BACK INDICATE NO TAMPERING OR COPYING --
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C'.M.A P._ TIES,INC. .'.« CHARLOTrESVILLE,VA''22906 ,
.:r: _ „..,:,ROPER f .
sa'-2/510
P.O. X 3 O. O 782 ..
CHARLOTfESVILLE VA 22906-7823
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m' DE County,of:Al6eiimarle,N .. :; 1 25.000•,
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4i- . >Two Hundred:Fifty.and.00/1,00- - . . ,s'_;.... __ �: 6nLLARs I
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'":� . . - Coun ',of Alf?emarle'`
,:. 401-McIntire Road' j
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r_ Charlottesville,VA,;22902-4596 °;''. _._` ;:".,;.' 7)14714\—'--1
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MEMO
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VSMP Request To Establish Bond F5ee
i�'006370�t' 10000 201: L00004 26 784 2Ee"