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REQUEST TO ESTABLISH A BOND
APPROVED PLAN HWPO201900052
PROJECT NAME: BERKMAR DRIVE APARTMENTS _
(As listed on the approved plant _
All parcels in the project, including any oil -site work if easements are not provided, and current owners. Use a
separate sheet ii'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: TMP 32/54 OWNER'S ME: B K AR APARTMENTS LL_C
SIGNATURE: RX -_ _ J._—_--- date:_—-�.�a
TAX MAPS / PARCELs: OWNEIZ'S NAME:
'TAX MAPS / PARCIa.s
TAX MAPS / PARCELs:
TAX MAPS / PARCFLs:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
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 trust be submitted certifying that
the person signing above has the authority to do so.
'I lie requested estimates are:
O VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
id VSMP Erosion and Sediment Control, Sun'nrnaler Management and Mitigation per Water
Protection Ordinance section 17-203: $250 fee required
0 Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435;
& Water & Sewer per Subdivision Ordinance section I4-435: 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: kennetho@breedenconstruction.com
OR REGULAR MAIL ADDRtiSS: 228 N. Lynnhaven Road, Suite 108
Beach, VA 23452
Centralized Payments
Page I of I
0 Your Payment Was
Submitted Aft
Transaction ID: OTX31469J8909801Y
Transaction Tlme: 03/23/2020 04:29 PM
Total Paid: $256.72 qw
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made and ee will credit your payment as of that day. However, you will not see the Payment pn rout account rot
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Transaction Fee $6.72
Total $256.72
https://avalonpayments.sturgiswebservices.com/apps/payments/?cartToken=X7E43171231... 3/23/2020