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fees_receipt_81481_2252_81481_08-18-2017-1.pdf
PERMIT FEE RECEIPT Case # B17-0330 Date Printed: 08/18/2017 TOWN OF VAIL - FEES RECEIPT Permit Summary Case Number:B17-0330 Status:Approved Permit Number:Date Started:08/17/2017 Permit Type:Construction Subcases Multi-Family Lot Number: Property:4560 VAIL RACQUET CLUB DR 1-10 (210112420010) Contacts Contact Type:Applicant Full Name:Dennis Shamshuryn Address:P.O.Box 4312 625 Big Dipper Rd. Avon, CO 81620 Email:aladdincleaning@yahoo.com Contact Type:Property Owner Full Name:Shamshuryn, Dzianis & Nadezhda Address:Avon, CO 81620-1042 Email:n/a Contact Type:Property Owner Full Name:Dzianis and Nadezhda Shamshuryn Address: Email:aladdincleaning@yahoo.com Permit Fees Fee Information Account Amount Permit Fee 001-0000.31111.00 $181.25 Will Call Fee 001-0000.31128.00 $5.00 Payment Information Date Paid Payment Type Amount Permit Fee 08/18/2017 Credit Card $181.25 Paid By: - Notes: Visa - Dzianis Shamshuryn Will Call Fee 08/18/2017 Credit Card $5.00 Paid By: - Notes: Visa - Dzianis Shamshuryn FEE TOTAL $186.25 AMOUNT PAID $186.25 BALANCE DUE $0.00 08/18/2017 - 11:31:54 AM - Generated by: dcouch75 South Frontage Road West, Vail, Colorado 81657 1 / 1