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MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAl' USE-STREET CUT PERMIT
PRJ((: Town of Vail
P11'N Public Works Dept
Parcel 4: 1309 Elkhorn Dr
Bldg Permit#: B - Vail.CO 81657
WARNING: inclusion of false information in this permit application establishes an automatic denial for a Right of Way Use-
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 Road++ay Standards and chapters of Title 8-Public Wa)s and Property,of the Vail Municipal Code
and is full) aware of its requirements and agrees to pa) all applicable kes. Application Fee:S 100.00
Company
Company Name: tiro t,i.— C«i-�e Phone:
City/State/
Company Address: lit tc 1r►tireerw,S5 Of E Sat-!te! 2.90 Zip: (.,I ewoios( a goo_
Contractor ,1
License Number: Email: )ofres+. Rei ca- e 64a.,Cv414.•4°+ '
l n ��++ Contact _
Contact Name: Cotre5+ R e ti- Phone: 1170—(1110
"1i!
ROW Use Location: Po S 6.0.,4 Cs £ Ro+[l
Requested ROIL' Requested
Use Dates: to Work Times:
Purpose for Request: Street Cut Dimension(if applicable):
c Underground Utility Installation
C Landscaping Length:
[C fern Site Acc
C Construction Staging Width(min 4');
C Roadway Construction
C Other(explain): Total Square Footage;.
Requested ROW Use:
C Single Lane Closure—Ift of closure(including taper)
C Two Lane Closure—Ift of closure(including taper)
C Three Lane Closure—Ift of closure(including taper)
Ift of closure 2b
C Other exp
I. Applicant shall submit a traffic control plan,and►►ork site/staging plan with this application. Traffic
Control Plan shall be in compliance with the MUTCD and shall show streets++ith names,adjacent
intersections,advanced warning signage,taper lengths,buffer space and work zone dimensions. No full
street closures are allowed.
2. Applicant must contact Public Works Department at 479-2I98 24 hours prior to commencing of work.
Failure to notify the Town will result in forfeiture of bond money.
3. Applicant is responsible for obtaining approvals from all utility companies having an existing utility line within
the project site,applicant has option of routing application through the Public Works office to obtain the
necessary Town of Vail signatures. Please allow up to one week to process,
Xcel Ener} (800-922-1987) Qm.est(800-922-1987)
Comcast(800-922-1987) Holy Cross Electric(800-922-1987)_,
Eagle Ri+er Water&Sanitation District(970-477-5453)
'Fawn of Vail Electric(970-479-2158) Town of Vail Irrigation(970-479-2158)
Print Applicant Name Applicant Signature Date
11V WS-StoragelDesktopsS.tSandoval.Desktop\ROW Application-2008 doc