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HomeMy WebLinkAboutWPO201700042 Bond WPO VSMP 2017-10-31 irrn0„list Oak Dot Reeened: 1 64-1-161/yet paid: , AL.tikfl • 41111?%, ,X-e A-6 Rerri%r41:#1. Icer)71 , Intake: Fornard to Mansarinent Anabat • 146""rer fraidrAlt'" REQUEST TO ESTABLISH A BOND APPROVED PLAN#WP0201700042 PROJECT NAME: EMERSON COMMONS VSMP AMENDMENT PLAN (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: 56-67A OWNER'S NAME: SHEEFLEE LLC SIGNATURE: 1. date: 10/14/2017 L L. 4- 34-e_ J stioe4142-v--- TAX MAPs PARCELs: OWNEWPAivit: SIGNATURE: date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: - date: TAX MAPs/PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAN 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 • VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water Protection Ordinance section 17-208;$250 fee required O 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. EMAIL: peterlazar@gmail.com OR REGULAR MAIL ADDRESS: 1730 SAGE LANE BLACKSBURG, VA 24060 levied 6120 2014, 11,3,2015 ran • �' gy .. SHEEFLEE LLC I 269 1730 SAGE LN 68-54/514 9921 f BLACKSBURG,VA 24060-2050 I V/i3 /�^ 2860255500 // /Date re ��er %i / e C-1.2._.1 Order of I $ LS .00 ', , �w .- L e �1 -� d� LD0� Dollars M f., Welk Faryoam,4,NA WELLS 1(��O c3„_.,),,,..„,61:,0,1,64,1_10,01-2,.. - - ys _ F:1HC0 wel "J` V �� P r; For A-r Shtzkiet t-t- -- L.J�� �� -___ _ __"p - •:0514005',9': 286025550010 01269 ,i Y' .I,,, f x , r - R a t a.s iz +, ,, , -. g 1.' .ti `K t i.,-;$ R „, g.‘:_. . at.�< 1. a a< r ,he te«. = ,A$,-' aa..b.».,ln , -rte _tan •2' ,; _` , . : _.. -, Countyof Albemarle t, 3� � 111 . Department of Community Development PH: (434)296-5832 Date I 0 - RECEIVED FROM: S h€, ...r / C C AMOUNT: T l•c s� kit,,,-�D,� �iy l $ a 3y/ 3t-is- 308 (� 324 �j 510 check i-2— For: LAv PO 2 Cb I � O 0 1e__ - cash• -bOYL,0 12to credit card U By �1