HomeMy WebLinkAboutWPO201700050 Bond 2018-09-17 Internal Use Oah /� (/ `���� /b a//!!
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ey,piLM REQUEST TO ESTABLISH A BOND ihj-7-e / /
, -(1•4‘6" APPROVED PLAN#WP0201700050
PROJECT NAME: Crutchfield Corporation
(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: IMP 32-9C OWNER'S NAME: Crutchfield Corp.ration
SIGNATURE: \ \ Sr \ `' -f'ute:_
TAX MAPs/PARCELs: OWNER'S NAME:
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 ownership of the property is in the name of any type of legalentity 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;
O VESCF Erosion & Sediment Control per Water Protection Ordinance section 17-207;SO fee
G7 VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;$250 fee required
❑ 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: bcrutchfield@Crutchfield.com
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014,1 i/3/2015