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HomeMy WebLinkAbout165 Forest Road_16.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE APPLICATION FOR RIGHT OF'WAY USE-STREET CUT PERMIT pP tR 1 : E 1� #: Parcel Town of Vail BldgPublic Works Dept Permit : B _ _ _ 1309 Elkhorn Dr WARNING: Inclusion of false infumiation in this pLtrrtit application establishes an automatic denial fora Right CO_ 81657_ Street Cut Permit and forfeiture of application fees. By signing this permit,the applicant declares he she has read all contents of this document,Town of Vail Roadway Standards and chapters of Title 8-Public Ways and Property, Vail of Way Use- and is fully°aware of its requirements and agrees to pay all applicable fees_ Application Fee:5100.00 p of the Municipal Code Iil Company Name: - Company f �t� Phone: 5..5454. Company Address: P0 6 x 7' City/State/ Contractor Zip: Q co License Number: 110411 d Email: `1 ddc101 e (G. e oc/S409 , J Contact Name: Contact Phone: 970- 376-age , ROW Use Location: • 601 Glc Requested ROS ' I 2 Use Dates: J '� • Requested to rWork Times: gfil- ‘ Pur ose for Request: Underground Utility Installation Street Cut Dimension(if applicable): ❑ Landscaping Len ❑ Temp Site Access �fh: 0 Construction Staging ❑ Roadway Construcdon Width(min 4'): ❑ Other(explain): Total Square Footage: Z Re uested ROW Use: .Sl ,��>r ane C So'e 5 Single Lane Closure—Ift of closure(including taper) �: 0 Two Lane Closure—Ift of closure(including WlA�« �'`�� �" ��b4! �,•� ' p ❑ Three Lane Closure—Ift of closure(including taper) © Sidewalk/Bike Path—Ift of closure ❑ Other(explain): I. Applicant shall submit a traffic control plan,and work site/staging plan with this application.' Control Plan shall be in compliance with the MUTCD and shall show streets with names,ad.' Tnaffic intersections,advanced warning signage,taper lengths,buffer space and work zone dimensions. No , street closures are allowedfull 2. Applicant must contact Public Works Department at 479-2193 24 hours prior to commencing of► Failure to notify the Town will result in forfeiture of bond money �orl;. • 3. Applicant is responsible for obtaining approvals from all utility companies having an existing lity line within the project site,applicant has option of routing application through the Public Works office tto obtain th necessary Town of Vail signatures. 'PIease allow up to one week to process. the Xcel f spry (800-922-1937) . Qwest(800_922-1987) Comcast(500-93?-1987) Holy Cross Electric(800-922-1987) Eagle River Water&Sanitation District(970-477-5153) Town of Vail Electric(970-479-2153) Torah of Vail I anon(970-479-2158) `• d ern i/ r 1 Print Applicant Name ��� 7` 12 —17 • Applicant Signature Date F:PW Enaineerind-PW Pennit fonns`Public Way PennirROLV Application-20084oe