HomeMy WebLinkAboutB15-0448 REV2 transmittal I��,..0'_`�.,, ,
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; � Department of Community Development
j` 75 South Frontage Road
T[��� t�� ��l��:��. � `_ va�i, co s�s�7
Tet: 970.479.2128
___ www.vailgov.com
Development Review Coordinator
TF�ANSMITTAL FORM
Use this form when submitting additional information for planning appfications or buiiding permits.
This form is also used for requesting a revision ta building permits. A two hour minimum building review
fee of$110 wii(be charged upon reissuance of the permit.
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Apptication/Permit#(s)information applies
;to: , Attention: evisions
$ 1�J' � �� > ;: Respanse to Correction Letter
� U�`7`� � ���� � ��� �—��� ' attached co of co rectio e er
v � � � PY r n i tt
�, j S ,��`'� ��� ��Deferred Submittai
Other
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�Project Street Address:
;-�� �GL1� �'�C��= .�_
:(Number) (Street) (Suite#) '!.............__.........................................................._..................................................................
, ..........................:
� Building/Complex Name: Description of TransmittaV List of Changes, Items Attached:
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�Applicant lnformation �
���Pf��� �'�iLr� �' %�,°�+�� �t.�S�-�
;(archifec contracto ,ownerlowner's rep)
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�Contact Name: ����% c�!"� f T� C��'�S�(���1��� � �
Address: � �b� ���-
'>,City ���C 1��� f,b �` �-
� ��S State: �- Zip: �/ 1
<Contact Name_ / ��/�f% �/"� � 1 �-F ;!(use additional sheet if necessary)
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jy� ; �
;Contact Phone_ <� �� �d�� l�'�7' :��::���:::�-�:��w;::-::::.�.�:»::::: :��::�:::::.,,�::��,:::::.��:<.;:::::::�:.�:,:�:>�»�M,:�:.:w.„:��.:�:�:.::::<::::�::���:.:���:.��<:
_ Building Permits:
/ '!Revised ADDITEONAL Va[uations (Labor&Materials)
�Contact E-Mait=�j i�C�S�N r���'��lS*�uC�rw���(��pr���(�,��,DO NOT include original valuafion)
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� I hereby acknowledge that 1 have read this application,filled ouf ;guilding: $ . � �� V �
; in full the information required,completed an accurate plof plan, �c;
i and state fhat all the informafion as required is correct. I agree fo 'Plumbing: $ � � �� �
comply with the information and plot plan, to comp(y with alI Town � �,`
> ordinances and state iaws, and to build this structure according ;��ectrical: '�>� G�C� $ �i �U� y
> to the town's zoning and subdivision codes, design review ap- �
r proved, Interna"onaf Buil � Residential Codes and other ;'Mechanical: $
; ordina s of e T n appli e th r.eto. �,=
;X ,� i Total: $0 ����
:
,
;OwnerlOwner's Representative Signature(Required) > °
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:
>:............................................................................................. ...............................................................................................: Date Received:
r� � � � � M ►� n
For Office IIse Onlc: ' ? � '
Fee Paid: � ��� I
Received From: � � '- � ���� �
Cash Check# i �
CC: Visa/MC Last 4 CC# exp.date:
Authorization# _ �' �