HomeMy WebLinkAboutPW10-0071MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE - STREET CUT PERMIT
PRJ #: rplo -03
Town of Vail
PW #: P W ( 0 _ 60- i Public Works Dept
Parcel #: 1309 Elkhorn Dr
Bldg Permit #: B - Vail, CO 81657
WARNING Inclusion of false information in this permit application establishes an automatic denial for a Right of Way Use -
Street Cut Permit and forfeiture of application fees. By signing this permit, the applicant declares he /she has read all contents of
this document, Town of Vail Roadway Standards and chapters of Title 8 - Public Ways and Property, of the Vail Municipal Code
and is fully aware of its requirements and agrees to pay all applicable fees. Application Fee: $100.00
t Company c,
Company Name: M �U M Lk M COM fZ -
FbT �OO L�i S�Phone: (LA - 70 y c l — �° /
City /Slat� / c
Company Addres (D .� C� k 2� Zip. y A �- f C 0 �j f b
Contractor
License Number: C 4 Z
Contact Name: 1Ay1y0. S - M 'O StX
ROW Use Location: UONSH-e�
Email: ' \k C.Pb V0. t � �1cit
P
Contact
Phone: 61-7t). °I 6 q �( _
Requested ROW" Requested
Use Dates: �` to _ Work Times: A M
Purpose for Request:
C Underground Utility Installation
C Landscaping
C Temp Site Access
C Construction Staging
C Roadway Construction
Other (explain): Cra.ne. — ham
Requested ROW Use:
C Single Lane Closure - lft of closV
C Two Lane Closure - lft of closure
C Three Lane Closure - lft of clostii
C Sidewalk/Bike Path - lft of closure
t'"
No full
2. Applicant must contact Public Works Department at 479 -2198 24 hours prior to commencing of work.
Failure to notify the Town will result in forfeiture of bond money.
3. Applicant is responsible for obtaining approvals from all utility companies having an existing utility line within
the project site, applicant has option of routing application through the Public Works office to obtain the
necessary Town of Vail signatures. Please allow up to one week to process.
Xcel Enery (800- 922 -1987) Qwest (800- 922 -1987)
Comcast (800- 922 -1987) Holy Cross Electric (800- 922 -1987)
Eagle River Water & Sanitation District (970- 477 -5453)
Town of Vail Electric (970- 479 -2158) Town of Vail Irrigation (970- 479 - 2158)_
T *m * �Ep 4� ) tv b
Print Applicant Name *plo6nt Signature Date
'feet Cut Dim 000 (if app* le):
00ocuments and Settings\andrew\Local Settings \Temporary Intemet Files \Content.Outlook \T4PRH5WR\ROW Application- 2008.doc
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TOWN OF VAIL, COLORADO Statement
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Statement Number: R100000761 Amount: $100.00 06/29/201008:05 AM
Payment Method: Check Init: JLE
Notation: 46635 maximum
comfort pool
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Permit No: PW10 -0071 Type: PUBLIC WAY PERMIT
Parcel No: 2101 - 071 - 0302 -0
Site Address: 520 LIONSHEAD CR VAIL
Location: UNIT 307, LIONSHEAD CENTER
Total Fees: $100.00
This Payment: $100.00 Total ALL Pmts: $100.00
Balance: $0.00
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ACCOUNT ITEM LIST:
Account Code Description Current Pmts
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ST 00100003112100 PUBLIC WAY FEES 100.00