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Department of Community Development
75 South Frontage Road
Nall, CO 81657
TOWN 01 Tel: 970 -479 -2128
www.vaitgov,com
Development Review Coordinator
Application for Design Review
Changes to Approved Plans
General Information: This application is for all changes to approved plans prior to Certificate of Occupancy.
An application for Design Review cannot be accepted until all required Information is received by the Commu-
nity development Department_ Design Review approval expires one year from the date of approval, unless a
building permit Is issued and construction cornmences.
Submittal Requirements: (�
1. Three (3) copies of all pertinont approved plans with illustrated, labeled chang
2. Joint Property Owner Written Approval Letter, if applicable.
JUN 1 1 2011
G.� v
Fee: $20 WN OF VAIL
Single Family Duplex � Multi - Family _ Commercial
Description of the Request: OP-57 1S44 "R_P_ �
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• �r� we�s� do�nr •tu +n uce v �.
Physical Address:_
Parcel Number; , ,1 iC> `iDia QG i . {Contact Eagle Co. Assessor of 970 - 328.8640 for parcel no.)
Property Owner:
0
Mailing Address:
Phone: 726
owner's Signature: C -n-''f
Primary Contact/ Own
F�eplAeetitative: lv
Address: �a
Mailing _ _ �.. -i —hl.
! Phone:
E -Mail: 1,011 i yUC .1/Jcz. tc„n Fax: C? 70 ~ D4 6`- C%`� 7, �
For Office Use Only:
Cash_,_ CC: Visa / MC L ,)st 4 CC # ::xp. Date: Auth # Check # 5
Fee Paid: 4;,Ia, Q C''. Received Frorrr �).b M
Meeting hate: DRS No.: Ei� 1 Al L22 110
Planner: F _ _ Project No:
Zoning: ...,. Land Use;
Location of the Proposal: Lot: Block:_ Subdivision : r"4 1 t_,L1iiC� I� —