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DocuSign Envelope ID:2804A516-B830-493A-9B92-2E96E404766F <br /> COLORADO Appendix C. <br /> Is Depwbnent of <br /> Transportation <br /> Region 1 Traffic Section <br /> 2829 W.Howard PI,2nd Floor <br /> Denver,Colorado 80204 <br /> (303)512-4266 Fax:(303)757-9886 <br /> Permit No. 120168 <br /> December 21, 2020 <br /> To: <br /> Harold Lesser <br /> 6999 S Columbine Rd <br /> Evergreen, Colorado 80439 <br /> Dear Permittee: <br /> 1. Please review the attached State Highway Access Permit (Form #101) and all enclosed <br /> attachments. <br /> 2. If you choose NOT to act on the permit, please return the permit unsigned. <br /> 3. If you wish to APPEAL the Terms and Conditions of the permit, please refer to the attached Form <br /> 101, Pages 2 and 3 for an explanation of the appeal procedures. <br /> 4. If you ACCEPT the Permit and its Terms and Conditions and are authorized to sign as legal owner of <br /> the property or as an authorized representative, please sisin and date the Access Permit form on <br /> the line marked "PERMITTEE". Your signature confirms your agreement to all the listed Terms and <br /> Conditions. <br /> 5. Provide a check or money order made payable to "CDOT" for the total amount due of$100.00 <br /> 6. You must return the signed Access Permit, including all pages of terms and conditions and all <br /> attachments, with your payment to the Colorado Department of Transportation (COOT) at the <br /> address noted below. The Department will return an executed copy of this permit. You may <br /> retain this cover letter for your records. <br /> 7. If you fail to sign and return the attached Access Permit within 60 days of the date of this <br /> transmittal letter, Colorado Department of Transportation will consider this permit withdrawn. <br /> B. As described in the attached Terms and Conditions, you must make a written request to obtain <br /> a Notice to Proceed. DO NOT begin any work within the State Highway Right-of-Way without a <br /> validated Access Permit and Notice to Proceed. Use of this permit without the Colorado <br /> Department of Transportation's validation shall be considered a violation of State Law. <br /> If you have any questions please call Marilyn Cross, Access Manager at (303) 512-4266. <br /> Please return Access Permit and attachments to: <br /> Region 1 Traffic Section <br /> 2829 W.Howard PI,2nd Floor <br /> Denver,Colorado 80204 <br /> 2829 W. Howard Pi, 2nd Floor, Denver, Colorado 80204 P (303) 512-4266 F(303) 757-9886 https://codot.gov/accesspermits <br />