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HomeMy WebLinkAboutWPO201800017 Bond 2019-08-12 Cem TL aid: '1 �� �� /fl/A-� _y.® ��to ana@ement Analyst � 4D41 `j S`?. REQUEST TO ESTABLISH A BOND APPROVED PLAN #WP0201800017 I SUB2018-44 PROJECT NAME: Lighthouse Instruments (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: 77-9 OWNER'S • ME: Li. thouse Instruments: James�V/eaall/e SIGNATURE: e I• date: A 1'J tl TAX MAPs/PARCELs: OWNER'S AME: 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 ow nership of the property is in the name of ark hype 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; 0 VESCP Erosion&Sediment Control per Water Protection Ordinance section I 7-207; SO fee ® VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water Protection Ordinance section 17-208;S250 fee required ® 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 information. EMAIL: jvealea©lighthouseinstruments.com 4 •�V j• OR REGULAR MAIL ADDRESS: • Revised 6/20/2014, I t/3/20 r s .� n of Albemarle 119 62 • artment of Community Development -PH: (434)296-5832 Date RECEIVED FROM: VI AMOUNT: D on 1 C, G o i 1A Q` 308 324 510 check l' I 3 • For: cash cre card W\PO (a®lc °DOI"! sue a®lT • qui By 1 -:.';SUNTRUST,BANK- ACH RT.081 0001 04= ' LIGHTHOUSE INSTRUMENTS 2020.AVON,000RT_SUITE-2. `.. CHARLOTTESVILLE,VA 22902 • . • • -• 8/6/2019 ORDER OFE County of Albemarle P **250.00 Two Hundred Fifty and 00/100*..***...**..**********...*.*..***...***.*..**..*..**.*.********.*...*********.**************. DOLLARS County of Albemarle PO Box 7604 Merrifield VA 22116-7604 MEMO Lighthouse Instruments Project . THIS DOCUMENT CONTAINS A COLORED BACKGROUND ON WHITE PAPER.MICROPRINT IS LOCATED BELOW THIS WARNING BAND. ' M • • • County of Albemarle 119061 Department of Community Development � PH: (434)296-5832 Date QO 1111 RECEIVED F OM: U�V\eh UVI. I Al i S A() (� AMOUNT: 0 ' A l l I X ru vi $. �_ 5140.C7 C (9._fiq "" 308 324 510 • check 0 1 t 63 • For: cash • co 9-la bOO Su is rlo u-_6 -/Byr i Vv SUNTRUST BANK AGH RT 081000104 LIGHTHOUSE.INSTRUMENTS,L.L.C. 88-2/b10 2020 AVON COURT SUITE 2.- CHARLOTTESVILLE,VA 22902 8/6/2019 PAY TO THE ORDER OF County of Albemarle ,$ **269.00 *************************************************************************************** Two Hundred Sixty-Nine and 00/100 DOLLARS County of Albemarle PO Box 7604 Merrifield VA 22116-7604 MEMO Lighthouse Instruments Project THIS DOCUMENT CONTAINS A COLORED BACKGROUND ON WHITE PAPER.MICROPRINT IS LOCATED BELOW THIS WARNING BAND• • 1