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MONTROSE COUNTY <br />DRIVEWAY AND ACCESS PERMIT <br />317 S. 2nd St. Access Permit # <br />P.O. Box 1289 <br />Montrose, CO 81402 Building Permit 1 <br />Phone: (970) 249-6688 Fee: <br />Fax: (970) 249-6680 Received By: <br />SITE ADDRESS Ki nni ki n Road - 1.0 Mile South of Highway 50 <br />Owner's Name: Nick Grav Phone No. 970-249-9436 <br />Mailing Address: 584 65.30 Road <br />Montrose, CO 81401 <br />New Address Required <br />Yes ^ No gB <br />Subdivision: Lot <br />Lot Size: <br />Contractor: ~/ Phone No: <br />Applicant's Signature LPL ~J ~t~-.-. Date: ~ z ~ - Q ,~ <br />^RESIDENTIAL ^AGRICULTURE ^MANUFACTURED HOME (~COMMERCIALIINDUSTRIAL <br />PLOT PLAN Gravel Pil Access <br />Show EXISTING property lines, buildings, county roads, and driveways WITH DIMENSIONS <br />R <br />Co sofEn finer Prmt <br />The County assumes that the information provided with this permit is accurate in all details. If the approved access <br />impacts another property owner's legal rights (i.e-, fee title, easement, etc.) the permit may be determined null and void. <br />This permit is void 'If not used within 12 months after application date. <br />Owner please contact: <br />Road ForemaNDriveway Inspector. Phone No. Dist. <br />TO BE FILLED IN BY ROAD FOREMAN <br />Driveway Location <br />CMP Diameter CMP length <br />Embedding Material Embedding Depth <br />Grade of Entrance and Exits from County Road Surface <br />Plans and specifications given above are approved for installation- <br />Roatl Foreman /Driveway Inspector Date <br /> <br />