HomeMy WebLinkAboutSUB201900071 Bond 2019-12-13 Internal Use Only
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Dale Received: 121((I Fee Paid:Z �_ �ti c
111kP
Received by: •
Intake: Forward to Management Analyst L
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # SUB.2o19-Re—e8
PROJECT NAME: Pleasant Green -Ph I - Road Plan .
(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 inforination must be correct,and plans must be
approved prior to bond estimates being prepared.
TAX MAPs/PARCELs: 56A1-1, 29 OWNER'S NAME: anle Martin Com anies LLC
SIGNATURE: date: 12/11/2019f
TAX MAPs/PARCELs: 55C-3, A OWNER'S AME: nle . Martin Com anies, LLC
SIGNATURE: date: 12/11/2019
TAX MAPs/PARCELs: OWNER' AME:
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
• 0 VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
l Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
& Water&Sewer per Subdivision Ordinance section 14=435; $269 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: swinkjw@stanleymartin.com
OR REGULAR MAIL ADDRESS: 404 People Place, Suite 303
Charlottesville,VA 22911
Revised 620/2014, 11/3/2015