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HomeMy WebLinkAboutB13-0322 CR1 transmittal �= Department of Community Development 75 South Frontage Road TQWN OF UAIl. � � va�i, co s�ss7 t 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. ApplicationlPermit#(s) information applies to: Attention: ( ) Revisions �� 7 �Response to Correction Letter �� ,� "" �' J �� attached copy of correction letter ��^ ( ) Deferred Submittal ��� I��1 �� • ( ) Other Project Street Address: � ,��� �"(r✓CC�C . �rv�, (Number) (Street) (Suite#) a`- /� Building/Complex Name: l Gy JTGi2ts Description of Transmittal/List of Changes, Items Attached: __ . ;_��c�e� ��6�TJ� CE/w�/�1�..9uc.�. �'.�� Applicant,lnformation � � (architect, contractor,owner/owner's rep) }�-� . Contact Name: �U.A-��nL�C� t �-�e �L, ;Address: �� C.�a� 7 7 �S City �, � 'c�-t State: �J Zip:���� ' Contact Name: ��'.v� .� l��/���.�( ' (use additional sheet if necessary) Contact Phone: ��b° �,�o�-C�Z�� Building Permits: _ _ _ , . . �""`_1 Revised ADDITIONAL Valuations (Labor&Materials) Contact E-MaiL ��GLy�,�. `� S�� �-��yu�-c:o�(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. 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: $ Q ' to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other Mechanical: $ ordi of the To a li l ereto. X Total: $ Own wner's Rep entative Signature(Required) � Date Received: ��� � L�', � � ll V L� For Office Use Only: Fee Paid: A�r �O �0�� Received From: H l7 Cash Check# �� n� 7� CC: Visa/MC Last 4 CC# exp.date: �� 7 Authorization # �...,�._.�����F vAIL __....._: �i � -���� +�C��I�f���� ��f���r°� �'�r��c�� �.9.� �r��+�ric�r� �.ic���k��� �or�p���n�e : �e��f���t+� 2t��2 �E�� � � � � � M � s��t�ar� �: �rc�j,�ct ir�format�c�r� AlJG202013 ��°`����`������'�'°� TOWN OF VAI L �%rr�,��f Tit'e;'�c��r st�3re C�n�ir�ac�Si��; Qwner��raE: �si�r�rC���r��Ec�r:. Va�i t;:� ����4s+8tp Fresrtt i��€�Ets+cte��l�r�gsr-�rirr,� 348�#�f�Ct Lak .Gt7$42�7 �ec#i�n 2. ��rterio� f�ightpn� ��at! 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