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HomeMy WebLinkAboutB15-0085 REV1 Transmittal Department of Community Development 75 South Frontage Road TOWN IND Vail,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. Application/Permit#(s) information applies to: Attention: Revisions 15 _ Ct9e (©Response to Correction Letter ❑ attached copy of correction letter (�Deferred Submittal ()Other Project Street Address: (Number) (Street) (Suite#) Building/Complex Name: Description of Transmittal/List of Changes, Items Attached: Applicant Information moo '_ I>r jl (architect,contractor,owner/owner's rep) Contact Name: V �iK1i>�T� •p G, .G• � 1� • i��K.E �J� Address: l r'� y7!>4 City \IA-(L� State: C.---C7 Zip: °l Cosa t'f T t I Go ,x:rPol3)LLC'" — 17D•3760. (QSL3 Contact Name: 97� Q'�1.149r� a (use additional sheet if necessary) • Contact Phone: ' 03+ Building Permits: r /_ Revised ADDITIONAL Valuations(Labor&Materials) Contact E-Mail:Lour-ie j et-t-- 4e .I , -Go("' (DO NOT include original valuation) 11 AA� I hereby acknowledge that I have read this application,filled out Building: $ NO . . Prt iO,_ L_ in full the information required,completed an accurate plot plan, and state that all the information as required is corre I agree to Plumbing: $ \/M-&).. comply with the informati••/-nd plo : -n,t• c•• • ith all Town ordinances and state a • • build •'- stru re according Electrical: $ to the town's zoni••�" d ••divisio ••-s, design review ap- proved,Inter . f a = ilding -•• --: dential Codes a • = -r Mechanical: $ ordinanc-: • = own a!- cabl ereto. X Total: $0 Ow47%wn -jSi•natur- • sired) • Date Received: For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/MC Last 4 CC# exp.date:_ Authorization#