HomeMy WebLinkAboutDRB130091 transmittal bepartment of Community Qevelopment
75 South Frontage Road
TQW�! OF IIAIZ : vai�, co$�ss7
Tel: 970.479.21?8
www.vailgov.com
Development Review Coordinator
TRANSM ITTAL 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$110 will be charged upon reissuance of the permit.
ApplicationlPermit#(s)information appfies
to: Attention: �Revisions
�j Response to Correction Letter
L'�R.$ �iv,q�. ��vl�c.v ✓o� �r°�T�tf�LC.L7'� �attached copy of correction letter
Su,�/YIrTlr7'L �� �'4�`� /3 �OtherfeESm.+4r� ,�? �uc�'5T
F'p2 +C CVi Sir o�ef�
Project Street Address:
G�5 �,r,�sr .�t D�fb
(Number) (Street) (Sulte t�)
BuildinglComplex Name: Description of Transmittal/List of Changes, Iterns Attached:
SiTC �G�N: A ia� G°t��/�' �r�.ZM�"7pN j
Applicant Information ���d�� �.dN�. ��q�,���_a/a�
(architect,contractor, ownerlowner's rep)
Li9n�D..SYvTr�� E'<r�i'V: ,�yovE Ti�S r9r��
Contact Name: s"c.v77" ?`�`�2/�/f�'�sG'�3 F�2o�Y! .�9rNyG.�.• G°�*iJC.�y1,Grl7-
Address: � �• ��X 3 3 S $
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City �h'G� State: �• Zip� �f� '� /
COntaCt Neme: (use additional sheet rf necessary)
�ontact Phone: 1�'7� "� ga y �`�� � Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: S�o'�� -��'fa��. �''�`' (DO NOT include original valuation)
1 hereby acknowledge that I have read this application,fi11ed out Building: $
in full the information required,completed an accurate plot plan,
and state that ail 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 uild this structure according Electrical: $
to the town's zoning and subdivisi codes, design review ap-
proved, Intern � a Suilding and esidential Codes and other Mechanical: $
ordinances the; own applicabl thereto.
�( Totai: $�
OwnerlOwner's Representative Signature(Required)
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Dafe Received:
For Office Usc Only:
Fee Paid:
Received From;
Cash Check #
CC: Visa/MC Last 4 CC# exp,date:
Authorization #