HomeMy WebLinkAboutWPO201800033 Bond 2019-02-15 foieiinal U4S 014
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REQUEST TO ESTABLISH A BOND
APPROVED PLAN#WP0201800033
PROJECT NAME: EARLYSVILLE BUSINESS PARK
(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' 31-21a OWNER'S NAME: 4F, LLC
SIGNA TITRE: date:
TAX MAPs PARCELs. OWNER'S NAME.
SIGNATIIRE• 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;
0 VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208: 5250 fee required
0 Subdivision(roads, drainage,etc.)per Subdivision Ordinance section 14-435;
& Water& Sewer per Subdivision Ordinance seetion 14-435: 5269 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- dffosterwell@icloud.com •
OR REGULAR MAIL ADDRE.,•,•
Re%iscd 6120,2014,1113,2015
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