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HomeMy WebLinkAboutWPO201600017 Bond Request 2016-06-29 20 /G, . 1 r Date Received /. Ae Fee Paid: 50 g---.ov 1t.�,�.'—LIt! ///,Received by: jmg <. S. i���1 ` J Intake: Forward in%Ipnagement \nnlywt , / I rti Y971-0•Ylifitt) C/ Ile, J // ��. 'icev� / / REQUEST TO ESTABLISH A :OND g ' � APPROVED PLAN #GROPEN DESIGN AND FABRICATION FACILITY i r PROJECT NAME: WP0201600017 (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: 90-35V OWNER'S NA\IE: RONAYNE, LLC _ SIGNATURE: date: 6740 6 TAX MAPS:'PARCELs: OWNER'S NA I SIGNATURE: date: TAX MAPs I PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs PARCELs: OWNER'S NAME: _, SIGNATURE: date: fAX 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 2 VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water Protection Ordinance section 1 7-208: S250 fee required 0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435: & Water& Sewer per Subdivision Ordinance section 14-135;S269 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: TRonayneat 9ropen.com OR REGULAR MAIL ADDRESS: 82329 TIMMONS GROUP lOWNEBANK 1001 Boulders Pkwy.,Suite 300 ( North Chesterfield,Virginia 23225 68-894/514 (804)200-6500 Fax(804)560-1016 July 6, 2016 FED LD.#54-1301413 PAY Two Hundred Fifty and 00/100 Dollars TO THE County of Albemarle $250.00 ORDER Department of Community Development OF 401 McIntire Road °PQo Charlottesville,VA 22902 i` , jar. / Irp c II.08232911' 1:0 5 14089491: 0 28 i00 L4 5611° County of Albemarle 105206 Department of Community Development PH:(434)296-5832 Date 'F11 RECEIVED FROM: * Ni al_ ig AMOUNT: L d dot Cxl 307 308 0 w �W 510 check ? 5 � For:1 + h E6J�!'�:��5 , Ufl� VV SO 1(() 1 t cash W "C cr•dit card I By Al i L,