HomeMy WebLinkAboutWPO202000053 Bond Estimates 2021-01-27It 1Ux Odv
DateRe264 t Fce Paid:
ceived:
Received 6�: '75 J
Inhke: For nrd to Management Analyst
Aft ,
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # SUB202000226
PROJECT NAME: Pleasant Green Phase II -Road Plans - Digital
(As listed on the approved plan)
Ali 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: 55C-03-AO OWNER-S
SIGNATURE: _
TAX MAPS / PARCELS: 56-007 OWNER'S
SIGNATURE: _
TAX MAPS / PARCELS: OWNER'S NAME:
SIGNATURE:
TAX MAPS / PARCELS:
TAX MAPS / PARCELS:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
date: 1 /25/2021
date: 1/25/2021
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:
❑ 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; S250 fee required
LZ 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: swinkiw stanleymartin com
OR REGULAR MAIL ADDRESS:
Revised 6202014, II/32015
404 People Place, Suite 303
Charlottesville, VA 22911
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Received bv: T5
Inuke: Forward to Management Annlvat
REQUEST TO ESTABLISH A BOND
APPROVED PLAN 4 SUB202000226 UiDpo go 20 - �5
PROJECT NAME: Pleasant Green Phase II -Road Plans -.Digital
(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:
TAX MAPS / PARCELS:
TAX MAPS / PARCELS:
TAX MAPS / PARCELS:
TAX MAPS / PARCELS:
55C-03-AO OWNER'S NAI ttanle Hvli3rtin Homes LLC
SIGNATURE: �� date:1/25/2021
56-007 OWNER'S N anle M rtin Homes, LLC
SIGNATURE: date:1125/2021
OWNER'S NAME:
SIGNATURE: date:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
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
Ga Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14435;
& Water & Sewer per Subdivision Ordinance section 14435; $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: swinkiw@stanleymartin.com
OR REGULAR MAIL ADDRESS: � 404 People Place, Suite 303
Charlottesville, VA 22911
Revised V 2014, 11/32015
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