HomeMy WebLinkAboutWPO202100018 Bond Estimates 2021-06-01Imernal I M Ont,
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REQUEST TO ESTABLISH A BOND
APPROVED PL.A\ � WPO-202100018
PROJE C"I NAME: Dripps-Phinney Driveway
(.As listed on the approved plan)
All parcel, in the project, including am oft -site \cork if easements are not provided, and current o\vners. Use a
eparate sheet if more o\\ncrs are required. O\\ner and tax map information must be correct. and plans mutt be
approked prior to bond estimates being prepared.
I"AS MAPS i PARCI:I :
I %X SI.APs PARCIits:
'I AX MAI's ' PARCEI.s:
'I AN MAPS ' PARCELs:
i AX MAPS;- PARCFts:
85-40A ON"`FR',� \AME: Robin ri Ls___.
-- SIG\A IVRF.: _, _--date:, 1 I�,.0 10�(
86-1OA _OWNEIR'S \AMF: Peace tUl HI LC •I _
1 $Ili\A"CLRE:,° r �,—,--_
��� date:
OWNER'S NAME: r;Z4�5 C. vo.,, bF
SIGMA I'URE
O�k'NER'S NAME:
SIG\A PURE:
OWNER'S NAME:
SIGNATURE'
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 1 i 07: SO fee
® VSMP Erosion and Sediment Control, Storntwater Management apd Mitigation per Water
Protection Ordinance,cction 17O& S250 fee required
Subdivision (roads, drainage. etc.) per Subdivision Ordinance section 14-135:
R Water e Sewer per Subdivision Ordinance section 14-435: S269 fee required
A bond estimate will be prepared b� the plan re%ie+ker. Ttte estimate must be sent to the owner. Please pro\ ide
contact information.
EMAIL: rdd9aavirginia.edu
OR REGULAR MAIL ADDRESS:
R,,, ad 0 20 21114. 11:A-76L'