HomeMy WebLinkAboutDRB16-0276.pdf ACw‘‘ Department of Community Development
75 South Frontage Road
TOWN OF VAIL' Vail, CO 81657
Tel: 970-479-2138
www.vailgov.com
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).
Fee: Waived for dead tree (s)
N- Single Family I�I Duplex F Multi-Family - ' n Commercial
Description of the Request: YY1a� l� S.Q a 'f L►iC S
Tree Species (removal): H4-5peA S Number of trees: 3
Tree Species (removal): Number of trees:
Comments:
Tree Species (replacement): I . Number of trees:
Physical Address: 103 2ULIL.I cel Gt y , RO /t3tj i to &I co 1
c
Parcel Number: 010 1 -01 I — OSI -1 c3(Contact Eagle Co. Assessor at 970-328-8640 for parcel no.)
Property Owner: Vre� 0.4SO5On K-0S-en bad
Mailing Address: /01 'Aocid Q d . 141 . VA:1 J LO J7- R.05-1
Phone:
Owner's Signature: -- ---`--(I I ' )� I -
Primary Contact/Owner Representative: (�Lkf lie b k1- i4-e
Mailing Address: 1`d L3Qi,1- LOvIAAgec�-.1( C.Y. O 1 (� 0 / Cp S7
l Phone: 97 b - till -10 q b
E-Mail: \QUren1 e U111`e-bJ• L.OIfl Fax:
For Office Use Only:
Meeting Date: DRB No.:
Planner: Project No:
Zoning: Land Use:
Location of the Proposal: Lot: Block: Subdivision:
Dec 2015