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WPO201800055 Bond 2018-08-02
lalerial I x lhoh A!-j4c.t Ogle RarriNed: Fee Pad:--- 1� 1 taupe: Forward I0ltaaaaeoeei ® m J .Valfr REQUEST TO ESTABLISH A BOND APPROVED PLAN #i WP0201800055 PROJECT NAME: BLOCK 1, PHASE B AND BLOCK 3, PHASE C VSMP PLAN AMENDMENT (As listed on the approved plan) All parcels in the projetct. including any off-site work if casements 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 'MPs/PARCELs: 55E-01-3C-A OWNER'S NAN, OLD TRAI HEIGHTS LLC SIGNATURE:: ! date: F Z ,� TAX MAPs PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs!PARCELs: OWNER'S NAME: SIGNATURE: date: TAX MAPs/ PARCEI.s: 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: • VESCP Erosion& Sediment Control per Water Protection Ordinance section 17-207:50 fee ❑ VSMP Erosion and Sediment Control,Storniwater Management and Mitigation per Water Protection Ordinance section 17-208: 5250 fee required © Subdivision(roads,drainage.etc.)per Subdisision Ordinance section 14-435: & Water& Sewer per Subdivision Ordinance section 14-435: S269 fee required A bond estimate will be prepared h% the plan re%itmer. The estimate must be sent to the owner. Please pro%ide contact intiomtation. EMAIL: robby@thmcorn.com and bill roudabush.corn OR REGULAR MAIL ADDRESS: Rc\IKd02292IIIA- II 3::uI5