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MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGIIT OF WAY USE-STREET CUT PERMIT
PRJ#: Town of Vail
PW#: Public Works Dept
Parcel#: 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 lie/she has read all contents of
this document,Town of Vail Roadway Standards and chapters of Title 8—Public Ways and Property,of the Vail Municipal Code
and is fully aware of its requirements and agrees to pay all applicable fees. Application Fee:$100.00
Company
Company Name: CroO-, Ca511t Phone:
City/State/
Company Address: //6 2-nVerrtes5 CIor £ 54-e 2 SD Zip: wodd co 130i Ii.
Contractor 11
License Number: Email: res+. R ei4 i Crown CA5+%C •��
Contact
Contact Name: grres# Re; PS- { +Phone: /70--Pi 8— 1170
ROW Use Location: Vim+( Y;e Dr;oe- C -w4 51Ohe Qr
Requested ROW Requested
Use Dates: to Work Times: 74 - 7p PI
Purpose for Request: Street Cut Dimension(if applicable):
C Underground Utility Installation
C Landscaping Length:
emp tte cress
w Construction Staging Width(min 4'):
C Roadway Construction
C Other(explain): Total Square Footage:
Requested ROW Use:
[� Single Lane Closure—Ift of closure(including taper) t SD
C Two Lane Closure—Ift of closure(including taper)
c Three Lane Closure—Ift of closure(including taper)
C Sidewalk/Bike Path—lit of closure
c Other(explain):
1. Applicant shall submit a traffic control plan,and work site/staging plan with this application. Traffic
Control Plan shall be in compliance with the MUTCD and shall show streets with names,adjacent
intersections,advanced warning signage,taper lengths,buffer space and work zone dimensions. A'o full
street closures are allowed.
2. Applicant must contact Public Works Department at 479-2198 24 hours prior to commencing of work.
Failure to notify the Town will result in forfeiture of bond money.
3. Applicant is responsible for obtaining approvals from all utility companies having an existing utility line within
the project site,applicant has option of routing application through the Public Works office to obtain the
necessary Toi►n of Vail signatures. Please allow up to one week to process.
Xeel I nery (800-922-1987) Qwest(800-922-1987)
Comcast(800-922-1987) I loly Cross Electric(800-922-1987)
Eagle River Water&Sanitation District(970-477-5453)
Town of Vail Electric(970-479-2158) Town of Vail Irrigation(970-479-2158)
Pont Applicant Name Applicant Signature Date
11VWS-StoragelDesktops$ll-Sandoval•.Desktop\ROW Application-2008 doe