HomeMy WebLinkAboutDRB16-0253.pdf Department of Community Development
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75 South Frontage Road
Vail, Colorado 81657
} _ , -, , • Tel: 970-479-2128
° � Fax: 970-479-2452
i- M ! Web: www.vailgov.com
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Develo meat Review Coordinator
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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 au-
thorized representative who has inspected the tree(s). To request an inspection, please call Tom Talbot, Wildland Coor-
dinator, 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 Coordi-
nator.
Fee: Waived for dead tree(s)
Single Family .' Duplex Multi-Family hp Commercial
Description of the Request: i) I S 2 ,3 p r I Jr) ++t. r1 v C7[ -t P re(Ye.) �I(
Tree Species (removal): C rn Ll\ hr-int Number of trees:
Tree Species (removal): Number of trees:
Mountain Pine Beetle Infestation? Yes y No
Comments: (}
Physical Address: act 1 �, f G nr\ S Rd>n Ck 3 V & t l , ` S (LoS
Parcel Number: , r (Contact Eagle Co. Assessor at 970-328-8640 for parcel no.)
Property Owner: V CC. ► h C,t C t, p L�
Mailing Address: r�rt lop � r &r� c, �1lig. C v�I� 1- r ) V s lU 9 1 L
Phone: l Cr) C) - 5
Owner's Signature: -\().11 (i rcC .
res ntative: i� , , �' 'tV.:►1 ; v-41c�A�o
Primary Contact/ Owner Rep � � Y U ! C L � 1
Mailing Address: Pa RI)X CJ-0 4
\Phu)OrA C } (Q� L-C)oPhone: L� " 1 a 3 f
E-Mail: (, 11f17ti _ CLQ.\ c e of l(L4---I Fax:
Application Date: ( (,P
Mitigation Plan Submittal Date:
Estimated Date of Completion: P P
For Office Use Only:
Project No: ORB No:
TOV Authorized Signature: _
Location of the Property - Lot: Block: Subdivision: •
01-Jan-11