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HomeMy WebLinkAboutWPO201600066 Bond WPO VSMP 2017-04-05 tt rea.a: / r0 Paid: < . 7b * 1 V//2e --- , I*tomer toys „.App .►w�r� nl641114; I. w ' A,r� &6iv .t 41,41,, . Pi " 8 , Lti-p.„ i,„14..toteD L,NttioNzyr:„, e) 401 REQUEST TO ESTABLISH A BONx2;;,..etiA- APPROVED PLAN# -• ...ii 1 v.,�+.i..•: /� �`1�S PROJECT NAME: Mfttgithaist Stream� d -_ (As listed on the approved plan) Alt 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: 2-01-29. OWNER'S NAME: Q'IUANAIGH.WILLIAtitt130YD SIGNATURE:12_4_ date: 41/5117 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: TAX MAPs/PARCEtt.s: 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; liel 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;5250 fee required 0 Subdivision(roads.drainage,etc.)per Subdivision Ordinance section 14-435; & Water& Sewer per Subdivision Ordinance section 14-435;S269 fee required A bond estimate wilt be prepared by the plan reviewer.The estimate must be sent to the owner. Please provi contact information. EMAIL: bl okJanaigh, OR REGULAR MAIL ADDRESS: tte.rod6 t4.Ie3'2015. r