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HomeMy WebLinkAboutB15-0101_B15-0101 REV1Transmittal_1431542880.pdf Department of Community Development 75 South Frontage Road TOWN OF iAll A 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$110 will be charged upon reissuance of the permit. Application/Permit#(s) information applies to: Attention: 0 Revisions 6 f 0 t� R /CrO Response to Correction Letter 5, D ` ri attached copy of correction letter O Deferred Submittal 0 Other Project Street Address: ; 0w 6-77/ (Number) (Street) (Suite#) Building/Complex Name: O1 VPS1 N }RUS Description of Transmittal/List of Changes, Items Attached: .. .. . ... ....... K`1r.V48 S-f.YIA�-}1.,Q3 LUo \ ,311-%C?W Applicant Information }10-Qir sv41►41 (architect,contractor, owner/owner's rep) Contact Name: AN P Y L N O Sia f A Lel r •• �QA"' su."Q r� " Address: P.() B.9,4 -7"]$r �l LIRA @W Chat, 1 d aYP#IS City AVIIKI State: Co Zip: gl b26 F oiL l ie ?roof profechfof oder Contact Name: (use additional sheet if necessary) 31212- Contact Phone: In ©40 . Building Permits: Contact E-Mail: riscolfii roc-Irv/11- n aok•co Revised ADDITIONAL Valuations(Labor& Materials) (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 at Town ordinances and state laws, and to build this structure according Electrical: $ -423— to the town's zoning and subdivision codes, design review ap- provedOrrternational Building and Residential Codes and other Mechanical: $ { " ordina c of the n lie =reto. Alex_ Total: $0 .. -. Owner/Owner's Representative Signature(Required) Date Received: CSNlVe i{t foiDek For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# exp.date: Authorization #