HomeMy WebLinkAboutWPO201700018 Bond 2017-04-14 Foca Wrti/00—
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REQUEST TO ESTABLISH A BOND
APPROVED PLAN# W`?d ' 1 1,fm O1
PROJECT NAME: , i?1F+{` d wn e,S
(As listed on the approved plan)
•
AR 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.
TAXPs/..PARCELs: OWNER'S NAME: / '1�- C 11onrs
MA �--� �`7G.
rSIGNATURE: 77 date: � •I y.•/ 2
TAX MAPsIPARCELs:6_l - 7'/ OWNER'S NA . tiA14;db." V Asscci try
f SIGNATURE: date: /y-I7
AX MAPS/PARCCELs: - OWNER'S NAME: \'tial d bf i 1 So C=s/CS
/ SIGNATURE:X "V/V41 c?,date: 3'-I4,1?
• TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE:
'�r�___'_ri//_._P ___ _ date:
TAX ivAAPs/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 eer5fying that
the person signing above has the authority to do so.
The requested estimates are,; •
Q VESCP Erosion&Sediment Control per Water Protection Ordinance section 17-207;SO fee
• y VSMP Erosion and Sediment Control,Stortuwater Management and Mitigation per Water.
Protection Ordinance section 17-208;$250 fee required
0 Subdivision(roads,drainage,etc.)per Subdivision Ordinance section 14-435;
. &Water&Sewer per Subdivision Ordinance section. [4-435;$269 tee required
A bond estimate will be prepared by the plan reviewer.The estimate must be sent to the owner. Please provide
contact information.
EMAIL: koI pe f (9 NVRAIL ,vie , CO'i
OR REGULAR MAIL ADDRESS:
Revised 6.121312014..1 113/2015
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