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HomeMy WebLinkAboutB13-0022 CR1 transmittal Department of Community Development 75 South Frontage Road ���� �� ��j� Vail, CO 81657 Tel: 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 of the permit. Application/Permit#(s) information applies to: Attention: �Revisions ? Not refrenced on lans JR �Response to Correction Letter p �attached copy of correction letter �Deferred Submittal �Other Project Street Address: 5114 grouse lane (Number) (Street) (Suite#) Building/Complex Name: Description of Transmittal/List of Changes, Items Attached: Revisions per TOV comments Applicant Information (architect, contractor, owner/owner's rep) Contact Name: Lauren Ford Address: �10 W. Lionshead Circle Unit A City Vail State: CO Zip: 81657 ContaCt Name: (use additional sheet if necessary) Contact Phone: 4772990 Building Permits: lauren khwebb.COm Revised ADDITIONAL Valuations (Labor&Materials) Contact E-Mail: @ (DO NOT include original valuation) I hereby acknowledge that I have read this application,filled out Building: �no change in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to Plumbing: $no change comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according Electrical: $no ChBnge to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Mechanical: $no change ordinances of the Town applicable thereto. �(Lauren Ford Total: $� Owner/Owner's Representative Signature(Required) Date Received: For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp. date: Authorization #