HomeMy WebLinkAboutSUB201400197 Bond 2014-12-09 l
Internal Use Only
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Date Received: ' GN Fe Paid:
Received by: ,� i tJ1iff i
Intake: Forward a agement Analyst �'
6 f y1.p.
REQUEST TO ESTABLISH A BOND
APPROVED PLAN# *u.la 2oI`I- )ci7 Vit. z
PROJECT NAME: ":'!"';w=" •%%11A.
(As listed on the approved plan) � 1 �+� � pA,5 e Z t{ _ 0ac1 Vfitils
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: I S` S 7 OWNER'S NAME: Pck!\-C)n - Lc-4c
SIGNATURE:CA14.7 , 1 fG date: 1/-/9—/7
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:
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;$0 fee
0 VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208;$250 fee required
NO Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
&Water&Sewer per Subdivision Ordinance section 14-435; $250 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:
OR REGULAR MAIL ADDRESS:
Revised 6/20/2014 (' )
1.(.‘
l'se Oak
OV A/dip
Revehed: Fee Paid;
-Norte— ,
Received by JP \:' 7111t_cv //AOC.
Intake: Forward to 7ilmongement
FiGIS?' 1, cs-1
716 I
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # :30), 1-‘'h (t,k,PC: C-1–10 IA4 • Pd)nce_ Z4 k-1 - tovr\
y,
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PROJECT NAME: r Pilit if -- Fif-Na\ ti.:-)LAL-z, cic - JOS.)
- (As listed on t e 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 he
approved prior to bond estimates being prepared.
(f\f , TAX MAPs/ PARCELs: OWNER'S NAME'
'•:,SIGNATURE)%, )44---; - id date 7• Z -
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
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;
\'ESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
VSNIP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208; $250 fee required
A5Kubdivision (roads, drainage, etc.) per Subdivision Ordinance section 14-435,
& Water & Sewer per Subdivision Ordinance section 14-435; $250 fee required
A bond estimate will he prepared by the plan reviewer. The estimate must he sent to the owner Please provide
contact information
EMAIL... .Kcr `-:,c-J4,i-Alr - L-1,9 vsi.:41v\z/YKA C ivr\
OR REGULAR MAIL ADDRESS. NAni\J
C. . i;)
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