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HomeMy WebLinkAboutWPO201900006 Bond 2019-05-15 oast ual yve Yeav n r Date Received: 1 i 1 Fee Paid: "`+0y Received by; c .. � 5//11/10/ ke:.1 nrward to Management Analyst REQUEST TO ESTABLISH A BOND APPROVED PLAN # SDP201900006 &WP0201900006 PROJECT NAME: The Covenant School - Major Site Plan Amendment (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: 90-A,_Parcel 2 OWNER'S NA :: The Covenant School SIGNATURE: date: -S 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 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 7-207;$0 fee 12 VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water Protection Ordinance section 17-208; $250 fee required D 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: fberry©covenantschool.org OR REGULAR MAIL ADDRESS: Revised 6202014, 11/320I 5 County of Albemarle 11821 Department of Community Development r I I i ' PH: (434)296-5832 Date "J RECENED FROM: v e/ " I o o AMOUNT:� V o uilite - -1 " ctollaic t pU1ioo $mo " / 1 -j� a."�0'w 308 324 510 check a U3 b I cash For: cre 1 s0 P 9bl01 U 6 ODD weo ,0\q - to By . , COVENANT SCHOOL '' t # °� ' . __ 175 HICKORY STREET SUN TRUST CHARLOTTESVILLE,VA 22902 `" `�"UST ACHRT061000104 (434)951-9381 68 2/510 i, DATE 11 1 AMOUNT Y I, x.irawuNminlijillrW --',./, :0,-'.., . lg.t(Sty , 04,,\ if i 2 T H ❑ `.F�*„.•••,.. 4*:41:++ y ♦♦ ♦ f• ar a `►'fir 4- �. 44164.41,* ` PAY T . *.4.4 ,': \` *ie.* f�" ♦l,,. 'b •b t�+f a ORDER TO THE Two Hundred Fifty Dollars And 00 CentsAT, # fi 7 fr 5/16/2019 aaa laj't` $ff,ff 4b1 $250.00 OF: ,r�.� s � $ !' X/ •i 1' 4' 4 \= / ` 11tiftitiit�siW+r+ro 8 Albemarle e6 t t I # " .+fir , 8, i. 8 County of j� Dept. of Finance ',L 401 McIntire Road AtikiA { 8;�, 8 I>r[ , , AUTHO eosIGNATu Charlottesville, VA 22902-4596a,�r r-����F�. '1 0 000 20 30 L 211' 1:0 5 L0000 20C: L000 L906061. 6611'