HomeMy WebLinkAboutSUB201300054 Bond Estimates Road Plan and Comps. 2013-06-19 Interval Use Onlx ,. 41 Do of ° / •
Date Received: 1 l✓ Fee Paid: ,v PIP AL„,,,, �rrf '
Received by: 111 'Y
Intake: Forward to Management Analyst ® � P70-2( `' /100L8L55
BOND ESTIMATE REQUEST
APPROVED PROJECT PLAN TITLE: (Title on the approve plan from which the estimate will be prepared.)
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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: S"SC:-1.,— Al OWNER'S AME: '.,,, H.' 611 rt,;A r;,7 Paper 4'e Si LL L
SIGNATURE 9 "
t�(�I��. ; ' � N date: (4 /9/ /3
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: 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:
The requeste estimates are;
Ll Erosion&Sediment Control per Water Protection Ordinance section 17-207
[[E tonnwater Management per Water Protection Ordinance section 17-306
IJ' Subdivision(roads, drainage, etc.)per Subdivision Ordinance section 14-435:
&Water&Sewer per Subdivision Ordinance section 14-435; $250 fee required
The estimate must be sent to the owner. Please provide contact information.
EMAIL: clAvt GU'�r Ali viiirle. ., 6 c(\k
OR REGULAR MAIL ADDRESS: 1 ,, a n ret4-e-i-S
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t ? �/-&c;) 2 RECEIVED
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Revised a/1+2011 e.4 ... DEVELOPMET .