HomeMy WebLinkAboutSUB201600092 Bond Estimates 2021-10-18Internal 1 ve f h,h
Uwe aw enrJ: I07.�. 7J........ }'ec PaiiL_�.a_��
hnakc: Fw�ward ro Program Adminl.lratar
J
REQUEST' TO ESTABLISH A BOND
APPROVED PLAN #_SU13 20_1
PROJECT NAME: 14joJ+,,ax4J e- �wWS
(Aslishduntlteappto�cciplattl'�-� �`,��-G _
All parcels in the project, including any off -site work if easements are not provided, and current owners. Use,]
separate sheet if more owners are required. Owner and tax map intin7nation must be correct, and plans must be
approved prior to bond estimates being prepared.
TAX MAPSi PARCELS. Z ��I= OWNER'S NAMEE: a *- f_G.,t. CV&6f45A4e- U<
SIGNATUR - " ��date:
TAX MAPS i PARCF.:Ls: 3Z_29 �_ OW\FR ti NAME: /,/ (2y1_ 6 v ll* (t L
SICiNAT'U['��'', e-..._� � -.date:_/D/1!tt_tZI
TAX MAPS / PARC'ELs: 32- 23 OW NL Ci, j }NAME: , /VO*Ai_ yqLa t Clr • ko 81" u �-
SIGNA fI �l''L/ s� �q _._. date, LOIZ4%Z.�
TAX MAPS / PARCH-s: OWNFR'S NAML:
SIGNATUREi:,—-._...... ---date:_.---
TAX MAPS / PAR('ELs: OWNFiR'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; (P*ees inclade 4%, To hnolusfv Pee)
❑ VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207: $0 fee
❑ VSNIP Erosion and Sediment Control, Stormwater Management and Mitigation per Water -r*c. IS %SI%W
Protection Ordinance section 17-208: $294.32 fee required 41_.
Subdivision (roads. drainage, etc.) per Subdivision Ordinance section 14-435:
& Water & Sewer per Subdivision Ordinance section 14-435: $307.84 fee require
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please tire\ idc
contact information,
EMAIL: - 0. _ .,,r�P �sth�rn=GlQ%(�. cam.'
OR REGULAR MAIL AI)DRESS:
Revi,,d 711"I ( QQ�
`0