AMBERLEY VILLAGE, OHIO
, 19
TO: THE VILLAGE OF AMBERLEY VILLAGE
The undersigned, representing the ownership of (name of subdivision) for which the SUBDIVISION IMPROVEMENT PLAN was approved by the Amberley Village Planning Commission on , 19 , hereby requests permission to make the following improvements under Village supervision:
l. The entire expense of the improvement shall be borne by the applicant, who shall also pay the cost of inspection and the testing of all materials as required. The applicant shall deposit the sum of $ to provide a fund for payment of inspection and testing of materials. Any surplus in the fund shall be returned to the applicant at the completion of the improvement.
2. Any work necessary to connect the proposed improvement with an existing improvement shall be performed by the applicant. If any openings are made in existing pavements for underground work, a permit shall be obtained for such work.
3. When the proposed work includes main sewers and/or lateral connections, permits shall be obtained as provided in Chapter 50.
4. If the applicant does not represent the entire ownership of the lots abutting both sides of the proposed improvement, the village reserves the right to require that an adequate indemnity bond be filed to protect the village from any claims for damages by the owners of the unrepresented frontage.
Witness:
Applicant
Address
('69 Code, Appendix - Exhibit III) (Am. Ord. C-611, passed 2-9-87)