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4 a <br /> 5/5/2011 Page 2 <br /> The owner of the private improvements under this permit shall promptly relocate or remove such improvements <br /> from the Ouray County right-of-way at his own expense upon written request from Ouray County. By requiring or <br /> approving this permit, Ouray County makes no warranty of title or interest in any property or right-of-way. By <br /> I submitting this application, applicant agrees to indemnify Ouray County for all claims against Ouray County <br /> arising out of,caused by or related to the work contemplated by this application, including all reasonable attorney's <br /> fees. Nothing herein shall be construed as a waiver of any right by Ouray County or an admission that any use in <br /> the right-of-way is adverse. <br /> APPLICANT GUARANTEES ALL WORK FOR TWO YEARS <br /> FROM FINAL INSPECTION DATE <br /> By accepting this permit, the undersigned Permittee or agent, under penalty of perjury, verifies that they have received all <br /> pages of the permit application; they have read and understood all of the permit requirements and provisions set forth on all <br /> pages; that they have the authority to sign for and bind the Permittee; and that by virtue of their signature, the Permittee is <br /> bound by and agrees to comply with all said permit requirements and provisions,all Ouray County regulations. ordinances or <br /> state laws regard' g facilities construction. <br /> C zy <br /> Permittee or agent signature <br /> Office Use Only: Permit Number: <br /> Note: This permit expires on: Void after this date. <br /> Re9oitements for construction/re r on: <br /> I�Excavation and TraffContr be performed per OSHA Regulations <br /> [ Compaction(95%min.w/testing reports—flowable concrete backfill may be used as an alternative) <br /> L Reconstruction of base 'sub-base <br /> 13 Regrading of shoulders/ditch <br /> El Revegetation and Weed Control Fee <br /> Fees& Requirements: Feed iieet;Y4"--- <br /> 1 $100(plus .200 per linear foot over 50 feet) = $ <br /> Bond Required: Amount Term Date Other <br /> Insurance: Policy# ($300,000.00 per person, $1,000,000.00 per occurrence) <br /> L Mapping Fee <br /> dimm <br /> Permit Approved—Ouray County Final Inspection Approval Date <br /> Approved for Construction Date <br /> Ouray County Road and Bridge Department <br /> P.O. Box 456, Ridgway CO 81432 970.626.5391 Fax 970.626.4439 ouraycountyco.gov <br />