HomeMy WebLinkAboutWPO201700045 Bond WPO VSMP 2017-08-11 Internal lyse OnIyAl / �
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REQUEST TO ESTABLISH A BOND
=APPROVED PLAN #WP0201700045
PROJECT NAME: Shytle Residence
(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.
08800-00-00-00310
FAX MAPs%PARCELs: 08800-00-00-000WNER'S NAME-7 H Shytle
08800-00-00-0031 SIGNATURE: ` / date:8-11-17 _
0
TAX MAPs; PARCELs: 08800-00-00-00 OWN''" 'S N• E: Doreen Sp e
►: /n l 7,
SIGNATUR �/�� (,�, t date:8-11-17
TAX MAPs PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPS/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs i"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
0 'SMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-208: $250 fee required
0 Subdivision (roads,drainage, etc.)per Subdivision Ordinance section 14-435:
777 & Water& Sewer per Subdivision Ordinance section 14-435; S269 fee required
A bond estimate a ill be prepared by the plan reviewer. The estimate must be sent to the owner. Please provide
contact information.
EMAIL: shytle@comcast.net
OR REGULAR MAiL ADDRESS:
ESS:
Rex scdn, o'2+i]4. tl'3"_'ul�
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County of Albemarle 110638
Department of Community Development yI
PH: (434)296-5832 Date iii 0
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ED FR ✓ ` 1 sl 1qi GT D' ruff) m, Tytik
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2 �G� $
307 ✓-368 JL'� 324 510 -154 a
For: I p cash
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v e(\ `'I i ^ 4S ere!t card i
By I_LL1%ND
HUGH T SHYTLE OR 7548 !1
1 = DOREEN M SHYTLE
I / 53-13/110 MA
l' WESTON,MA 02493-2127 �i[��7 26515
Date '1
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I Order of C.",•-•' a. I $ 2 -'--.3°;)7 I
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