APPENDIX 8: APPLICATION FOR IMPROVEMENT GUARANTEES

TOWN OF MILLS RIVER

APPLICATION FOR IMPROVEMENT GUARANTEES

Name of Subdivision     

Name of Owner     

Address    

                               Phone:    

Agent                             Phone:    

Date of Preliminary Plan Approval by Planning Board     

Significant Conditions Imposed:                            

Type of improvement requested:

       Cash on Deposit (Certified Check)

        Bank Escrow Account

        Irrevocable Letter of Credit

       Surety Performance Bond

       Trust Agreement

Name of bank or bonding company    

Amount of guarantee (including 25% overhead) $            

Projected completion date                            

Are cost estimates attached (with quantities and unit costs)?           yes                no

Have engineering and design work been completed?     complete     partially complete     incomplete

I have read and understand all requirements stated in Article V of the Town of Mills River Subdivision Ordinance regarding subdivision  improvement guarantees .

Owner's Signature                               Date

Submitted By                                    Date

   *****************************************************************************

   TOWN USE ONLY

Received by:                            Date:   

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