HomeMy WebLinkAboutB12-0585 REV1 CR1 TRANSMITTALI0wl{ 0r
Department of Community Development
75 South Frontage Road
Vail, CO 81657
rel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of $110 will be charged upon reissuance ofthe permit.
Application/Permit #(s) information applies'o'glL-05g{,1 tl
$/Revisrons
-lo L':>'' t cn= c^ s ,
O Response to Correction Letter I
[attached copy of correction letter I
f) Defened Submittal- I
, IUlner
Le,le
Project Street Address:
ijoQ EtAln"'^ Dr'
(Number) (Street)
Building/Complex Name:
n (Suite #)
Y^bl',c IAlo"(e
(architect, contractor, owner/owneds rep)
conractName: Cra,*^ Q'atl
Address: 4t5o N" 4FlL St.'# 1"{
47 /-3 2b{
contact E_Mail: c gtal e,y @. al-e cs , c2M
I hereby acknowledge that I have read this application, filled out
in fullthe information required, completed an accurate plot plan,
and state that all the information as required is correci. I agree to
comply with the information and plot plan, to comply with allTown
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
of the Town
Owner/Owner's Representative Signature (Required)
Revised ADDITIONAL Valuations (Labor 4Materi?ls)(DO NOT incf ude original valuation) - // o /.t a,.1e .
Building: $
Total: 6 0
'l
sheet if necessary)
Date Received:
For Omc€ Us€ Ooly:
Fee Paid:
Received Froml
Cash Check #
CC: Visa / IYC Last 4 CC # _ exp, date:
Authorization #