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<br /> <br /> <br />COLORADO DEPARTMENT OF TRANSPORTATION Issuing authority apdicagon <br />STATE HIGHWAY ACCESS PERMIT APPLICATION accedence date: <br /> <br />Instructions: -Contact the Colorado Department ofTrensponaUon(CDOT)or yourlocal government to determine yourissuing authority. <br />- Contact the Issuing authority to determine what plans and oNer documents are required to be submitted with your application. <br />- Complete this form (some questions may not apply to you) and attach all necessary documents and SubmU it to the issuing authority. <br />PleeSe )'11/nf - Submit an applicetlon for each access affected. <br />Of ty))e - If you have any questions contectthe issuing authority. <br />- For addtllonal IMormation see CDOTs Access Management website at)r1dtJAvww doLSfatle.eo.uslAecesaParmifslinde:him <br />1) Property owner (Permittee) 2) Agenlfor permittee (gdiReremfrom propeny owner) <br />V 1 <br />Street address Mailing address <br />702 Gre Drive <br />City, state 8 zip Phone # Ctty, shale 8 zip Phone # (required) <br />Vista Co 81211 719-3 -37 0 <br />E-rtrailaddrasa E-mail address tiavellade <br /> Ka ette ace roducts.cixn <br />3) Address of property b be served by permit (required) <br />Cotst Road.. 301 Trout Creek Pit Ma attached <br />4) Legal description of properly: If within jurisdretlonal tlmils of MuniGpatlty, city arM/or County, which one? <br />aaarny addiNnlm ewe wt secuan ra+ao+b reaya <br />5)Whet <br />g5 ay are YOU requesting access from? <br />e 8)Whats~ofthe h~hway?^ ^ <br />N S E W <br />21F <br />28 <br />7) How many feet fs the proposed access from the nearest mile posh How many feet is Ise proposed access from Ne nearest cross sUeet? <br />feet (]N S~E W)frwn: f N®S~E~W)from: ) <br />8) What is the approximate date you inlerd to begin constrocUOn7 <br />This It haS been ~ eX1S <br />9 Check here tiyou are requestlng e: <br />new access ^lemparary access (duretlen antlciPated: ) Improvement b existlng erases <br />e in access use ^removal of access of an existlng access (provide delatl) <br />chan <br />g <br />to) Provide existlng propeAy use <br />11) Do you have knowledge of arty State Highway aaess permits serving this Property, oradlacerd properties In which you have a propeAy imeresl9 <br />~ra Dyes, tiyes-what ere the perms number(s) and provide copies: arM/a, perms date: <br />River Park Pit did not r ire a rnlit <br />12) Does the grape owner own or have any interesb In any adjacent propety? <br />~no ~ yes. g yes -please desaihe: <br />13) Are there other existing or dedicated pudb streets, roads, highways or aaesa easemems bordering orwUNn the property? <br />no ®yea, ti yes- Ilst them an Your Plare arM Irdieate the DrW osed and existlng access prints. <br />14) If you era requesting agricultural field access- now many aces will the access serve? <br />15) If you era requestng commerGal or industrial access lease indkate the types and number of businesses and provide the rise area square footage of each. <br />busineasllard use square footage business square footage <br /> <br /> <br />75) If you are requesting residential developement access, what is Ne type (single famiy, aparimem, townhouse) and number of units? <br />type number of tugs type numler of urns <br /> <br /> <br />17) Provide Ne fdknving vehicle taunt sstlmates far vehiUes that will use the access. Leaving the property then returning is lvro counts. <br />Indicate K your counts are "d o an sari 5ya vvaa x Peek friar vawnw » a nn+n vnE vuaMS m aa.r~ saw valumea <br />k hour volumes or ®averege dairy volumes. ' ~ 5 <br />~ d singe wn vehidas in exwe d 3o R "d farm vMid® (flak epuipmenl) Total Count Mall vehlClBs <br />50 ° 110 <br />Pmious 4dWOnt on obsolete and may not W us4d Pape 1 0l3 CDOi Pone #137 17104 <br />