HomeMy WebLinkAboutB14-0237 REV2 transmittal L '' I Department of Communit Develo ment
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75 South Frontage Road
TUWN OF VAIL�` va�i, co s�s5�
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.
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pplication/Permit#(s)information applies
to: �"�?t.�-�l ��-�-�( � � Attention: evisions
� ' � �Response to Correction Letter
jZattached copy of correction letter
� Q Deferred Submittal
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f�Other
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Project Street Address�
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(Number) (Street) (Suite#)
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Buiiding/Complex Name: _ Description of Transmittal/List of Changes, Items Attached:
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Applicant Information µ� � � � ^� � v� �T G-�r�t��
(architect,contractor,owner/owner's rep) � �
Contact Name:�w'�'��.� ���Y�� �
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Address: �/� , ,,r,.. �,j ,,
City�����,�� State: Zi 'C>�/
L�<� P�.�
Contact Name: �,�/¢�� 0.7 � � (use additional sheet if necessary)
Contact Phone:_���'---���5=�l�lG�_ Building Permits:
Contact E-MaiL•��7�f-�;� �r/���,� S'��„�1��Revised ADDITIONAL Valuations(Labor&Materials)
C��(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: $
to the town's zoning and subdivision codes, design review ap-
prov International Building and Residential Codes and other Mechanical: $
or�Jinanc of the To a plicable th "eto, -�
x / � '� ' TotaL $0
O r/Owner's Representative Signature quired)
Date Received:
For Oftice Use Only: � � � � " �
Fee Paid: D
Received From: ��p �� 2014
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization# TOWN OF VAIL