HomeMy WebLinkAboutWPO202100049 Bond 2022-11-22Internal Use Only
Date Rem�elJ 12KROLIFe, Paid;
Received by:
REQUEST TO REPLACE AN APPROVED BOND
Water Protection Ordinance Replacement Fee: $294.32 (includes 4% technologyfee)
Subdivision Replacement Fee: $0.00
APPROVEDPLAN# "'PO-214ZI �Odoqcl
PROJECT NAME (As listed on the approved plan):
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Documentation/information required to process this request:
1. If parcels have been sold, provide a copy of the recorded deed of sale. Provide the deed
and page number and a copy of the clerk's receipt.
2. If replacing a subdivision road/performance bond, submit a new Schedule of Completion for
Bonded Improvements form.
3. 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 submitting this request has the authority to do so. This
information will be used to format the bond agreement.
4. How will the replacement bond be secured (cashier's check, Letter of Credit, Surety Bond,
etc.) X/ei&- �-/ 17, ^-&L ? This information will be used to format
the bond agreement
5. If this project has delinquent fees, these fees must be paid prior to replacing the bond
agreement.
Owner's Name Ze-e- Date 2-
In case additional ififormation is required, please provide contact information below.
EMAIL:
PHONE NUMBER: 7 -4131
OR REGULAR MAIL ADDRESS: