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HomeMy WebLinkAboutB13-0049 REV1 TRANSMITTAL.pdf Department of Community Development 75 South Frontage Road TOWN OF UAIL� 0 Vail, co s1s57 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 &ru.�ctra V14", �, 0 Response to y of corn Letter ' attached co of correction letter Deferred Submittal `7 Other Project Street Address: 5g� iu,e r-�g (Number) (Street) �n - q(S/uiten#) Building/Complex Name: /Y L� 1,5 - � Description of Transmittal/List of Changes, Items Attached: Applicant Information (architect,contractor,owner/owner's rep) —7 Contact Name: daii, � I Address: ?7q-7 DVV a-i City Th_v� State: Zip: g 0 a. / Contact Name: (use additional sheet if necessary) p� — t Contact Phone: �gco Building Permits: �,1 ` Gbrn�k, Revised ADDITIONAL Valuations Labor&Materials Contact E-Mail: I'I� ��l9Yl Gf PfCS C (DO NOT include original valuation) ) Yl�- I hereby acknowledge that I have read this application,filled out Building: $ in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to ''! Plumbing: $ comply with the information and plot plan,to comply with all Town ` ordinances and state laws, and to build this structure according Electrical: $ to the town's zoning and subdivision codes, design review ap- proved,International Building and Residential Codes and other Mechanical: $ ordinances of the Town applicable thereto. X - 1`1�(a Total: $0 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#