HomeMy WebLinkAboutDRB140378_DRB140378 transmittal zoning info_1409776740.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
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 $11 0 will be charged upon reissuance of the permit.
Application/Permit #(s) information applies
to: Attention: 0 Revisions
PtE)-/4C57 2 \_l;~ n O Response to Correction Letter
D_attached copy of correction letter
ProJect Street ~d<;l11{ess: .
/419 UCV! U£t!l~
(Number} (Street) (Suite#)
Building/Complex Name:-------------
Applicant Information
(architect, contractor, owner/owner's rep)
contact Name:~ [wC'.AL h0t
Address: t 0 f~~ { 'tJ C S:
City ;fyvvl state: &J Zip:?f / ~ Z U
Cont~ct Name: .Fftfu (ft/1~
Contact Phone: g Zft? ~ ~~ 3
Contact E-Mail: ~ zft? lfUA)~ c.-t vzlr·1-1. -e.;f U--L.-
1 hereby acknowledge that I have read this ~pp ication, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
proved, International Build" g and Residential Codes and other
ordi so the Town plicable thereto.
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For Office Use Only:
Fee Paid:------------------
Received From:----------------
cash---------Check#--------
CC: Visa I MC Last 4 CC # exp. date: -----
Authorization # ----------------
Defer~bmitt~l .._,. 1
Other :d4 ·tt .v~-A.a-" \
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Description of Transmittal! List of Changes, Items Attached:
-~D-ZJuLfovvvL' lfbi-~
(use additional sheet if necessary)
Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building: $
Plumbing: $
Electrical: $
Mechanical: $
Total: $0
Date Received: