HomeMy WebLinkAboutSUB201600061 Bond Road Plan and Comps. 2016-07-27 internal Uxonit / TD : \_tocid
v `1 l( c u /• Date Received: Jee Pa Yla
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Intake: Forward to Management Analyst 0110,4 ( 91f11411"jw
1411, 00;47
REQUEST TO ESTABLISH A BOND /
APPROVED PLAN # 5046a_0((000061
PROJECT NAME: C4?N1wto-' (4761„,i)
(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.
ki(i(g*X MAPs/PARCELs: q3 1 OWNER'S NAME: Ole.A1VvtAre, 17:''rt►w& lLC
SIGNATURE: l�, Atdate: 4/11-A e
TAX MAPs/PARCELs: OWNER' 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;
(] VESCP Erosion & Sediment Control per Water Protection Ordinance section 17-207; SO fee
O VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
_/ Protection Ordinance section 17-208; $250 fee required
E Subdivision(roads, drainage,etc.)per Subdivision Ordinance section 14-435;
& Water& Sewer per Subdivision Ordinance section 14-435; 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.
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EMAIL. /eS� p
OR REGULAR MAIL ADDRESS:
Re%iced 6/2012014. 11/1'2015
N
GLENMORE PARTNERS,LLC1 '
PO BOX 645 q/0 11& 68-3114
CHARLOTTESVILLE,VA 22902-0645 ( /
Date
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UNION Union Bank&Trust
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x:051403164': 8504098541v 11 28
County of Albemarle 105510
Department of Community Development I
PH: (434)296-5832 Date 1 0� VJ
RECENED M: `•C.,( 1110{1 �. ?cCii-vs
AMOUNT:: -AWO • -ed O • C 4,ViS 1yiaj $_Gantt
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307 374 0l40l 600
324 510 14, 1-0D1I
For: ,
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S k Y ) a' crei't card
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