HomeMy WebLinkAboutWPO201800009 Bond WPO VSMP 2018-02-01 Internal Use Qniv
D re Received: / wee Paid:a o
Received by: /GriJ � l � IV v71./) 2/112
Intake: Forward to Management Analyst
REQUEST TO ESTABLISH A BOND
APPROVED PLAN # le)/ QQZ)e,
PROJECT NAME: aP 7',16002 AzT3 0?7 � � 30�303,5),3, 3 >i..35
(AS listed on the/approved plait
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.
n /2,0/1f.UT /,P/ FS �J(
TAX MAPS/PARCELs: 65.5'8)-614-00 OWNER'S NAM ,�/,C,�,i,510 JJ e,694
SIGNATURE: _d G date:____ __
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs/PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MAPs 1 PARCELs: OWNER'S NAME:
SIGNATURE: date:
TAX MA Ps/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; $0 fee
(,gf VSMP Erosion and Sediment Control, Stormwater Management and Mitigation per Water
Protection Ordinance section 17-20$;S2504e required
0 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 by the plan reviewer. The estimate must be sent to the owner. Please provide
contact information.
EMAIL:lV%//eila/( (4.)Craig),bul/ers, net
OR REGULAR MAIL ADDRESS: /G, 7g
1/19 A779a
Revised 6/20/2014, 11/3/2015