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HomeMy WebLinkAboutWPO201900067 Bond Estimates 2021-12-29Internal Use Only Date Received: Fee Paid: Received by: _ Intake: Forward to Program Administrator 1'�RCINIt' REQt* TO ESTABLISH A BOND APPRQVED PLAN # SDP20200021 , PROJECT NAME: W4 Development Carwash (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: oasoo-oa000s 11 OWNER'S N • W4 Pro ed4s Charlottesville LLC SIGNATURE. date:12.29.21 TAX MAPS / PARCELs: OWNER'S NAME: SIGNATURE: date: M 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; (Fees include 4% Technology Fee) 2 VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; $0 fee ❑ VSMP Erosion and Sediment Control, Stormwater Mafiagement and Mitigation per Water Protection Ordinarroe �ectioh 17-208; $294.32 fee required ❑ Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435; & Water & Sewer per Subdivision Ordinance section 14-435; $307.84 fee required F A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the'owner. Please provide contact information. EMAIL: galmand@milestone-gc.com 45 West Hancock Ave, Suite 100 OR REGULAR MAI> ADDRESS: Athens, GA 30601 Revised 711/21