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HomeMy WebLinkAboutWPO201700081 Bond WPO VSMP 2018-05-01 littcrn d t+eonh / / (.� Oji .vt,i j. 71) U J v that Recti%ed. .1` 1_ 1 et Fait:,2�' \^f _, hereiied bz. iit inia40: [0. and to Management>nat”i c' v°' '. 4v ,/4--\"N.---....---' REQUEST TO ESTABLISH A BOND APPROVED PLAN r SDP201700069; WPO201700081 PROJECT NAME: _Brooale _ _Brookdale listed on the approved plan) All parcels in the project. including any off-site work if easements are not provided.and current owners. t:se a separate sheet if more owners are required. Owner and tax map information must he correct.and plans must he approved prior to bond estimates being prepared. T AX MAPs/ PARCELs: 076000000046C1 OWNER'S N L; Brookdale Partners LP AP SIGNATURE: 4/�r:. date:5/1/2018 ReuroA.P.,'lc. TAX MAPs'PARCELs: OWNER'S NAME: SIGNATI'RE: date: TAX Mil's!PARCEL,. OWNER'S NAME: SIGNATURE: date: TAX MAPs 1 PARCELs: OWNER'S NAME: S K INA FURL: date: TAX MAPS i PARCELs: OWNER'S NAME: SIGNA TURE: 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. "Tae requested estimates are: 0 VESCP Erosion& Sediment Control per Water Protection Ordinance section 17-207: SO fee IV VSMP Erosion and Sediment Control,Stormwater Management and Mitigation per Water Protection Ordinance section 17-208; 5250 fee required L.--..1 Subdivision(roads. drainaes,etc.)per Subdivision Ordinance section 14-435: & Water& Sewer per Subditi ision Ordinance section 14-435; S269 fee required A bond estimate will be prepared by the plan reviewer. The estimate must he sent to the owner. Please provide contact information. EMAIL: wpark@a pinnacleconstructionva.com OR REGULAR E.-L: R 7.AtE: :1I)I EtE S% 1821 Avon St. Suite 200 Charlottesville VA 22902 email is preferred tie..t,:d 6..76 '014, l i 3 ^IT c