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HomeMy WebLinkAboutB16-0081.001 transmittal.pdf ::f Department of Community Development '.- "' 75 South Frontage Road 5---4---) ' a, ; • Vail, CO 81657 Tel: 970A79.2128 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$110 will be charged upon reissuance of the permit. r Application/Permit#(s)information applies • to: Attention: 0 Revisions _F l X 1 2- C6P, O✓ ( 0 Response to Correction Letter �1I` I V(,c(2 R.attached copy of correction letter (b'e, cozj5 \ :3� , 0 Deferred Submittal O her Project Street Address: 1toctl CoG'hPJS ' (Number) (Street) (Suite#) Building/Complex Name: x Description of TransmittaV List of Changes, Items Attached: Applicant information k (architect,contractor,owner/owner's rep)1 �/j t Q Contact Name:. 0/ -►5 f6 t1 (/�✓K-cam' ( ��a•. . •3 /� s'. n'!, sic 4 ••L.S Zl �0we� 1 re I Lc/. t ./0...1f Address:,/s// N'�-l+ e✓ P Ste, r City ✓A.J L State: G 0 Zip: Ol o Contact Name: �`t-AUS -� h J s(use additional sheet if necessary) I Contact Phone: 97 0 l 4r— �1P s Building Permits: ~~~ Contact E-Mail: t �' -,5A,Cy-11✓1.� , L0., Revised ADDITIONAL Valuations (Labor&Materials) (DO NOT include original valuation) j 4 I hereby acknowledge that I have read this application,filled out !Building: $ . in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to Plumbing: $ comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according Electrical: $ I to the town's zoning and subdivision codes, design review ap- i proved International Building ant Residhr tial Codes and other I Mechanical: $ o�. ances o he Town applicab s therel. j J �j '7? . J .N. Vr Total: $0 / / / ' •.'i- owner's Representative Si.nature(Required) / r i Date Received: © wL, nD For Office Use Only: JUN 2 0 2016UI Fee Paid: Received From: Cash Check# TOWN OF VA,I L CC: Visa/MC Last 4 CC# exp,date: Authorization#