HomeMy WebLinkAboutPEC16-0020 Application (2).pdfTOWN OF~ Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
Flood Plain Modification
Application for Review 1by the
Planning and Envi,ronmental Commission
General Information: A floodplain modification permit is a permit to allow construction of improvements and/or
modifications to the adopted floodplain. Flood Plain Modifications may be approved by the Administrator, subject to
review by other Town of Vail departments. No habitable structures or improvements shall be allowed to be constructed
within the floodplain. Please see Section 12-21-11, Flood Hazard Zones, Vail Town Code for more detailed information.
Vail Town Code can be found on the Town's website at www.vailgov.com.
Fee: $400
Physical Address: Y ")51 :::Svo ~fe.,-( V\
Parcel Number: ;:2 \0 l I~\ 0 \ D \ ':2.. /ot3 (Contact Eagle Co. Assessor at 970-328-8640 for parcel no.) t
PropertyOwner: ~~~~~~~----------------~----------------~------------------
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-----------.-r-:-r---------Phone: 3o3 SA8 0":S"3 S: owne~sSignature: ~a~~~~~~~--------------------------------------------------~
Primary Cont;:lct/ Owner Representative: _ ___,_i1_\_,_. \.:...:, C..:::..~----=::~::::.e..~\ __:_vl\___:_:li,_~r::S:v·,~· ;;-'-'''-----------------------
Mailing Address: :Po &1(; l(DDY. \...)C\.1 l Co ~l eosB
_______________ Phone: _ _,_,3-#-q~o_·-_Cf~2........,.,3~2------~
E-Mail: Wl~\v'lL -\') ~h e,\ry,~~ \_ (01/\,\ Fax:--------------
For Office Use Only:
Cash CC: Visa I MC Last 4 CC # ______ Exp. Date: Auth # Check# ____ _
Fee Paid: ..foO Received From~ • {V"\·~g-1 A\
Meeting Date: S Q~ · \\D PEG No.: ffC..ll.o.-:. OQ.01.Q
Planner: ":55 Project No:-------------------
Zoning: Land Use:...-----------,--,---------------
Location of the Proposal: Lot: 3 Block: ~ Subdivision: e> \rf a 5}\o
Oct2014