Laserfiche WebLink
YCNSE2Llq COUNZY ACED DEP ai^.'i4: <br />1580 YTIt'. 1a 5, COASCZ, CO 8:023 <br />• 19]0) 365-85fi6• <br />APPLILI: ION <br />In d:de: to Cadi li ;ate companies and ine iv:duala needing co C'_S ir., o: Cistuc b, a <br />county right-ot-w/ this applrca cion moat De coca!c;eC p:lo[ co :aid accrvl;y. <br />~, a~_1~17 aaP~ ~~~cQ~ ~ - - <br />Daty Add rc sa of Ac uviry <br />I1 ~ ~~1 r...r Ci2° ___ <br />v.e yf/ -~Fany UY•'ic •viduat Company Address <br />/~ i i.,.,,__ =-~~T- .~'nS -'-'Coo ~ <br />None SLgnacu re OC Repressnt+a~:ivs Tol eynone Nu:~ei ~~yy // <br />You nu•e contact ~~,~ ~+ ~1,v~..r a: ~L.)`OV C~ C <br />2l bour+ Del ore c®ea q cork oo tAie piojec t. TRe yon;e xuaa Cour.;y Road <br />Fo renan, by autno [i cy aC Aesolucinn X11-95, adoptetl Dy the Y.ontet c:a Cwn;y Ooa rd <br />of Comnisslone ca, De rcby autno ri zes irte a-uve naxeC applicanitn Co t e ful lo~•iny <br />[including cyVe one exact roan Luca cl onsl flr' r•.)C..+• -+:. ~~+~~ <br />:~1~ ~J _ <br />PLLASL ATw v-u A SJ~S IC S1tLIC8 OF CCiN 6iAUCiIOH K21rS Tt•• <br />Co1TLIAMCC x12x STFr: Appliuacc snu11 ar. ell tines comply wicn all rules and <br />requla [ions oC the Slate of Colorado and eonC!rmmw CnunLy in comiecclon win such <br />con :;.cuCCion, lna;alLatiun, ylad nq ur use aucho ri reA he re uncle:. <br />ACPLICh+T C.J3: CONTACT THE UTILiTy NOTIFICATION C°-NTEA OF CO LOrL-.i.O A7 <br />1-BUO-922-IqH] PRIOA TU DIGGING tOA UTII.I'CY NOTI F'ICATION A.ND Lf%:1'C [ON. <br />ONE CALL TICKET Nflw.E_A I5: <br />3ZE3: Tha followi nq Cces are in et YecL for [nr cu::enl calentlar year: <br />• DAlYL1QY: NesidenCial or CVmmercid l: 7100.00 par location <br />• AIGK I:OACS: <br />ROAD .° ,.H: Asphalt roads: 71,000.00 yer 1oCacioa <br />G ca vet roads: 5 500.00 par loco :ion <br />• AOAO 86AL: A.iphaLt roads: 3 50.00 yet loutLCn <br />Gravel roads: 3 50.00 per loeatiea <br />• all work pe rto:ned Y<om shoulder or road cu bottom uC di CClr: <br />5500.00 per mile or 3.10 Dar foot <br />• IAA ZtSPAOT: <br />HoLtcm oC Uicch Lo A.O.M. Cence: 550.00 yer loco cion <br />All work pe clot-cd Erom Doc: om oC dt ccn ca n.O.M. ['core: <br />5230.00 per mile or S.DS yae root <br />• ul applicants ace encouraged to du constcuctio0 as Cac fcca the road s-ouldoc <br />iJ pUaa1D1C. <br />• All epplican is are responsible [ur Che clean up of the cuun;y tight-oC-way. <br />• Applica its shall immediately repair and restore all Biota chances o: Lne r08tl or. <br />righe-oc-way to current county specifies tl ons. Upon fallu:e co do so Ghe <br />cuun;y may rope is or restore and the appli rant shall De liab!c co, clod owe, the <br />nounty roc all reasonable coats and expenses SnCU reed. <br />• No company or person sna 11 dig Sn, or aiatu:o, county right-or-way without <br />complying wltn [tie above. If [he ce is a bona Cide erne rgercy, said company ur <br />person ana 11 drat with t.h- ere r0ency in an ayp:optiate manrcr ann comply with <br />ine above ptuceCUre on Che ncx: worki n9 day. <br />X4LS: <br />21 100.00 /" /~ ~f yroA ~Q TOLAI- CUE AND PAYABLE: <br />]1 500.00 ~r~~G 5 `J C~uay C~LIC~ <br />al 1,000.00 d'" ~ J ~r <br />s) s.10 per root x ft. - l.J( --r L~.r /.'1/ / <br />fit S.OS per YeoC x _L[. _ Signa.tyr• uisctact Forewn Dale <br />';=2ras~c~! <br />