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HomeMy WebLinkAboutB14-0073 REV1 transmittal z'diy a� `;��r°, : Department of Community Development 75 South Frontage Road TOWN OF VAIL � � Vaii, 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. ApplicationlPermit#(s) information applies to: Attention: ( Revisions �;j , � ` �ri p—7 � ��� � . , i � ( ) Response to Correction Letter ,�.� �J � W attached copy of correction letter � , ( ) Deferred Submittal � �T 1� "��0�(� ( ) Other Project Street Address: , ° � 1� � Sv�N�UJ2>S% (Number) (Street) (Suite#) Building/Complex Name: ��� Description of Transmittal/List of Changes, Items Attached: — ���NC� t�� � S�ldy� Applicant,Information (architect, contractor, owner/owner's rep) Contact Name: ��� �L��LJ✓�.S .���' _ � Address: City State: Zip: Contact Name: ��w�� � ` (use additional sheet if necessary) Contact Phone: —1 � � '� ��� � Building Permits: Contact E-Mail: � �'�y Z� ��� Z �' Revised ADDITIONAL Valuations(Labor&Materials) (DO NOT include original valuation) �-f��n�-d� : c.�,-` 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: $ ordinan of t e Town applicable thereto. X f' ^ Total: g Qwner/Owner's Representative ' re(Required) Date Received: � � � � � For Office Use Only: D Fee Paid: �Y 2� Z014 Received From: Cash Check# � � CC: Visa/MC Last 4 CC# exp.date: �OWN OF VAIL Authorization #