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From:Land Designs by Ellison 970 328 6084 08/02/2011 16:32 #589 P.001/001
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Application for Design Review
Dead or Diseased Tree Removal
Generat Information: This approval is granted for the removal of dead or diseased trees only. A separate application
is required to request tree removal/replacemenY in the Town of Vail. This form must be signed by a Town of Vail au-
thorized representative who has inspected the tree(s). To request an inspection, ptease call Tom Tafbot, Wildland Coor-
dinator, at(970)477-3509.
Applicant has 30 days from the date of this appllptfon to submlt a mitlgat)on plan to the Town of Vail Wfldland Coordi-
nator.
Fee: Waived for dead t�ee(s) ,
Single Family Ouplex �Multi-Family Commercial
Description of the Request: 7'R_�T�oy�(� r �QVF �Q �e ��,�i_.T 1/IJ� d�2,,
' " G
Trce 5pecies(removal): �jl'�� Number of trees:
T�ee Species(remaval): Number of trees: � �
Mountain Pine Beetle Infestationl Yes�L'�No # � � 7��'' �
comments• � � T z1�''��+
Physical Addr�s: � �
Parcel Number. Z •DI4�/�r `�M�LT ! (Contact Eagle Co. Assessor at 970-328-8640 for parcel no.)
Property owner: �f d L�l,n���n/1�0`� ,
Mailing Address:
��
Phvne-
Owner's Sipnatttre: � � �----�
Primary Contact/ Owner Representative: ��� ���1��b 1�---
Mailing Address: �� �JO� �J'�1
C'1'��,C.(. C_/U ��11' � Phone: � �� '"Ld�I �"1
E-Malt: �i�L a►I�lKO� �_�� . UV1/1Fax: a�'D 7J ZF(` tP D
Applicsfion Date: � ,�. �
Mitigation Pian Submittal Dabe:
EstimaCed Date of Completion:
For Office Use Only:
Project No: ._.�R� ) 1_ �y o 3 DRB No: ��(�'��� fl���
TOV Autfiorized Slgnature:
Locatlon of the Property - Lot:,��Block:�_Subdivislon: �.i oti1�S )2��GF Ff u A1C�
09/O l/09