HomeMy WebLinkAboutWPO201600069 Bond WPO VSMP 2017-03-16 Internni t,:se Onh
'D
Recthed: 5 4 II 7itcdcL 3// (0000-
Received
intake: Forwar n gement Anahkt
inc71°
REQUEST TO ES rABLISII
APPROVED PLAN# 5[3 p. zol(0 00011
PROJECT NAME: The v
'7 62 4--/
(As listed on the approved plan)
All parcels in the project, including any off-site work if easements are not provided,and current ow Ilc!r,,
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.
dippo."W
TAX MAPs/PARCELs: t93 OWNER'S 4111111 .P ei2s
SIGNATURE: 4111111.1" date: 5// 7'/2-o(1
mAAJA-6E1._ "W
OP ettfOt
TAX MAPs I PARCELs: 651k 7--co6A- OWNER 2111Patox4LTYekg_rillW„
SIGNATURE: ,,A111111P date; 3,1151L2_0
- ,•AA/t Atokiv
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:
0 VESCP Erosion& Sediment Control per Water Protection Ordinance section 17-207:50 fee
ILKSMP 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; $269 fee required
A bond estimate will be prepared h the plan reviewer, The estimate must be sent to the owner, Please provide
contact information.
EMAIL: VV P RK (-0 p tuivkci,E com sr/2_0 Cr( 1•1 VA .C"-A
OR REGULAR MAIL ADDRESS: 1€21 AVOO, , $TE 260
ettAP-LoTiL \J‘l_Le \JA -2-2-9 2_
st„Ni 6/20/2014,fli31201