HomeMy WebLinkAboutB12-0578 CR2 transmittal F��''� Department of Community Deveiopment
��� 75 South Frontage Road
�; ..,. _: Vail,CO 81657
�����}� Q�= �,j,��� '. Tel_ 970.4792128
www.vailgov_com
Development Review Coordinator
TRAI�SMITTAL FORN]
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 buifding review
fee of$110 wiil be charged upon reissuance of the permit.
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ApplicationlPermit#(s) informafion appiies ,
to: Attention: �Re ns
�"� esponse to Correction Letter
�'f1 i2—�„�� �_attached copy of correction letter
.LJ
( n (� �Deferred Submittal
/ C7/�'�'N J �� 1 0�-� v � (�Other
Proje� ct Street Addr�w ���P /)i r.,R/j /O �
��� (� �-foE�
(Number) (5treet) (Suite#)
Building/Complex Name: �Ki�"� L�+R L�+�i+- Description of Transmitta�!List of Changes, Items Atfached: �
c� �..?u I l �'' G�' �
�.pplicanf Information �� �` D •� �
(architect,contractor,ownerlowner's rep) i� , A �� (
n r�j�,���r �� O�
Confact Name:�`��� �C•` � • "� 1 �'
.� . (�o �c 2 2co? `� Q` . . � .
Address: �
City � C.�..� ` State:� Z�p:� �
Contact Name: �pl r�'e (use additional sheet if necessary) �
�,�p— ��6 - Y� ��8 ----_=-______=-__=_-_-_.-___:_..__---___---..____--___--___-___-=-__=-----=_---=____=-�
Contact Phone: T— Builaing Permiirs:
^ �{����,..�, U ) Revised ADDfTIONAL Valuations(Labor&Materials}
Contact E-Mail:li')G')YVf�.l�C �p/►'���^�� /`�"/ �(DO NOT include original valuation}
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. ! 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,lnternational Building and Residential C es and other Mechanical: �T
ordinances of the Town a plicable t $� f�
� Total:
Own ner's Repre n tive Signature(Requ ed) --------------------------------------�-------- �-----"----��---
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Date Received_
� � � � a � �
For Office Use Only:
FeePaid: rii f� 1 G� L���
Received From: ��
�� Check# �(;30 C,•G.
CC: �/sa/ MC Last 4 CC# exp.date: TOWN OF V
Authorization# AIL