HomeMy WebLinkAboutDRB140317_DRB140317 Application_1406643120.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
Application for Design Review
Dead or Diseased Tree Removal
General Information: This approval is granted for the removal of dead or diseased trees only. A separate
application is required to request tree removal/replacement in the Town of Vail. This form must be signed by a
Town of Vail authorized representative who has inspected the tree(s). To request an inspection, please call
Anders Hendrickson, Wildland Coordinator at (970) 477-3509.
Applicant has 30 days from the date of this application to submit a mitigation plan to the Town of Vail Wildland
Coordinator.
Fee: Waived for dead tree (s)
L Single Family L Duplex L Multi-Family C Commercial
Description of the Request: /L&~ ~ f'e.l"bJO. /
Tree Species (removal): /a dy~ po/:: f2!'t;t Number of trees: __ 1 ______ _
Tree Species (removal): Number of trees: --------
Comments: ______________________________ _
Tree Species (replacement): Number of trees: --------
Physical Address: '(8' (2 fr/e.4w La.,ar:J .Ji t3
Parcel Number: Q!f0l Ji3 f o'--(0 !CJ (Contact Eagle Co. Assessor at 970-328-8640 for parcel no.)
Property Owner: Vaa./J/)tJ r:cod /Jr. t)~hn w~riy .
Mailing Address: 3t t/'l E Ofeto C.iCcle ~A Of <1na1 CL/1 Cc! 80112
--------------Phone: 72a BJ 7 'i998
Owner's Signature: _____________ ..,,.._ _ _,_-r71..,.-----------
Primary Contact/ Owner Representative: --.~6:JJ.;.A...io.:;V.-:-.... P.~"'1:..·~~tld/r04~ ~.,&-------------
Mailing Address: ----------~-;.__ _____ pr-____________ _
------------.--.....,.....--Phone:(9 l"q) C/'JJ--li?~· '1
E-Mail: C:JCh1'/ld5 9if1}/6fo/foyf7 Fax:----------
Application Date:-----------------------------
Mitigation Plan Submittal Date:------------------------
Estimated Date of Completion:------------------------
For Office Use Only:
Project No:-'7lf5JY·u373 ORB No.:Vrl6f~31/
TOV Authorized Signature: _____________ ....,..,.... ____________ _
Location of the Proposal: Lot:_1....,3 __ Block:___.,,.7 __ Subdivision: {3~W() 5.J..h
May 2014