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REQUEST TO ESTABLISH A BOND I� �
APPROVED PLAN # SDP2019-00035 WP02019 00033 f1
PROJECT NAME: C&F Bank G5 Stonefield Block "G" Major Site Plan Amendment
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(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: 61 W/3-19A OWNER'S N ME: ill' O' onnor _
SIGNATURE: ate: 11/8/19
TAX MAPS / PARCELs: OWNER'S NAME:
SIGNATURE:
TAX MAPS / PARCELs: OWNER'S NAME:
SIGNATURE:
TAX MAPS / PARCELs: OWNER'S NAME:
SIGNATURE:
TAX MAPS / PARCELs: OWNER'S NAME:
SIGNATURE:
date:
date:
date:
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;
Z VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; $0 fee
O VSMP Erosion and Sediment Control, Stonnwater Management and Mitigation per Water
Protection Ordinance section I7-208: $250 fee required
6d Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435:
& Water & Sewer per Subdivision Ordinance section 14-435; S269 fee required
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide
contact infonnation.
EMAIL: aschwartzooconnorcp.com
OR REGULAR MAIL ADDRESS: 535 Madison Ave., 6th Floor
New York, NY 10022
Ro,-d 6202014, 111312015
11 /12/2019
Centralized Payments
(D Your Payment Was Submitted
Transaction ID:
Transaction Time:
Total Paid:
8U115731S7423781M
11/12/2019 11:45 AM
$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 will 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.
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