HomeMy WebLinkAboutWPO202200021 Bond 2022-11-04Internal Uw 0.1,
Date Rcceived: Fee Paid:. pt
ReMwd by:
Intake: Fomard M Pmgram Administrator
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # WP0202200021 Stockton Creek Subdivision - VSMP
PROJECT NA1vIE: Stockton Creek Subdivision VSMP Plan WP0202200021
(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.
TAXMAPs/PARCELs: 69-19B OWNERISNAMf: "ockt nCr ekLLC
SIGNATURE7 date: 10/27/22
TAX MAPs PARCELs: 69-1 9C OWNER'S NAt: 2tock*)nreek LLC
SIGN, -�—(J "--7L— date: 10/27/22
TAX MAPs PARCELs: 69-19E OWNER'S NANO %oc!�jn ireek LLC
SIGNATURE: — U— date: 10/27/22
TAX MAPs / PARCELs: 69-19F OWNER'S NANX:.§t0ckt n Cl1eek LLC
SIGNATURE: U date: 10/27/22
TAX MAIs / PARCELs: 69-19H OWNER'S NA tock' n (alleek LLC
SIGNATURE:
date: 10/27/22
NOTE: If ownership of the property is in the name of any type o 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 submifted certifying that
the person signing above has the authority to do so.
The requested estimates are; (Fees include 4% TechnoloSy Fee)
El VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
10 VSMP Erosion and Sediment ControL Storinwater Management and Mitigation per Water
Protection Ordinance section 17-208; $294.32 fee required
0 Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435;
& Water & Sewer per Subdivision Ordinance section 14-435; $307.84 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: simpson(griverbenddev.com
OR REGULAR MAIL ADDRESS: I
Revised 7/1/21
Internal Use Cod,
Date Received: Fee Paid: Ilk
Received by: _ 0
Intake: F&Mard to Program Administrator
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # WP0202200021 Stockton Creek Subdivision - VSMP
PROJECT NAME: Stockton Creek Subdivision VSMP Plan WP0202200021
(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 corr ect, and plans must be
approved prior to bond estimates being prepared.
TAX "s / PARCELs: 69-19J OVrNER7'SN SAckton reek LLC
16 Creek
SIGNATURE: date: 10/27/22
TAXMAPs/PARCELs: 69-50B OWNER�'S NA Sto 1don Creek LLC
SIGNATURE: date: 10/27/22
TAX MAPs / PARCELs: - OWNER'S NAME:
TAX MAPs / PARCELs:
TAX MAPs / PARCELs:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
OWNER'S NAME:
SIGNATURE:
date:
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)
11 VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; $0 fee
52 VSMT Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $294.32 fee required
0 Subdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435;
& Water & Sewer per Subdivision Ordinance section 14-435; $307.84 fee required
A bond estimate will be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide
contact information.
EMAEL: simpson@riverbenddev.com
OR REGULAR MAIL ADDRESS: I I
Revised 71W I