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HomeMy WebLinkAboutB14-0076 REV1 � Department of Community Development � 75 South Frontage Road T�WN (1F VAII� va�i, co s�ss� 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$110 will be charged upon reissuance of the permit. _ ._ _ __ _ _ __ _ _ _ Application/Permit#(s)information applies to: Attention: � �Revisions ��� � /'(°�`-\"�� '�4�� � �j Response to Correction Letter v`-' 1 � �attached copy of correction letter ���� �`��� Q Deferred Submittal (('�Other Project Street Ac�dress: , IQQQ ��Ql'�31 1� (Number) (Street) (Suite#) Building/Complex Name: V,��U� �Q� Description of Transmittal/List of Changes, Items Attached: _ _. . _. _. .. _.. .. �j��- a� C�,�'�vt i�- j�'� � t�, � ,..., Applicant Information ..l' ��� (architect,contractor,owner/owner's rep) �, ��� �^� �—� �ontact Name: �+1�1 L � ��� / �7 , � Address: ID G � � �� l� �'�� .S�' R � LC� � � City �►4.�►�� State: � Zip: ���/ Contact Name: �� V �Q�.(�� T(� (use additional sheet if necessary) Contact Phone: �l�l� `Z�.� " � �$� guilding Permits: �' ��b��,� � � � "� ��.Revised ADDITIONAL Valuations(Labor&Materials) Contact E-Mail: IVr1,1 '� �"41 ° (DO NOT include original valuation) I hereby acknowiedge that I have read this application,filled out Building: $ in full the information required,com leted an accurate plot plan, and state that all the informatio a required is corre . I agree to Plumbing: $ compl with the information a p t plan, to comply ith all Town ordina ces and state I , s, a t uild this according Electrical: $ ��4� ' to the wn's zoning and ub is n co s, design iew ap- rove atiana uil g n denf nd other Mechanical: $ rdina f the To ap li b e . �� �, Total: $p 2(�,� � Ow / s res t f ( equir ) Date Received: � `V� � � V � For Oflice Use Only: D rl Fee Paid: ��� � v ���� Received From: �ash Check# TOwN OF VAIL CC: Visa/MC Last 4 CC# exp.date: Authorization#