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.~ <br />ne follo:•:irig documents may be required by the Department to complete their review o1 the application. <br />Submitted plans should be no larger than 24" x 36". <br />• Site plans and sketches on a scale no smatter than 1" = 100'. <br />• Highway and driveway plan and profile. <br />• Complete drainage plan showing impact to the highway. • <br />• Map and letters detailing utility locations before and alter development in and along the right-of-way o11he <br />highway. <br />• A subdivision zoning, or development plan. <br />• Property map indicating other access approaches and abutting public roads and streets. <br />12. If an access permit is issued pursuant to this application, the terms and conditions o11he permit shall be based <br />in part upon the information provided by the applicant. Changes in the use o1 the permitted access approach <br />that are not consistent with the Perms and conditions of the permit or information provided on this <br />application may be considered a violation of the permit. <br />TFIE APPLICANT HEREBY DECLARES THAT ALL INFORMATION PROVIDED ON THIS FORM AND THE <br />ATTACHMENT(S) FOR~jiE PURPOSES OF OBTAINING AN ACCESS APPROACH PERMIT ARE TO THE BEST <br />OF HIS KNOINLEDG CORRECT AND COI.APLETE. <br />(SIGNATURE) / /'. ' ~v r~~ Date 02/27/81 <br />Name (print) Daniel J. Sn{ylder,rlI <br />Address P. 0. box E City Pannia State Colorado Zip ~]_~$ <br />Phone ~u~/uc+- <br />Relationship to property. (ov+ner?, lessee?, please specify.) <br />President. Colorado k'es_tmor_eland~n.c. and Vira Pracidant ;n chargg of k'estern Ooera~LOns <br />for 4:estmoreland Coal Company, Philadelphia, Pennsylvania ._191Q9 <br />Since an approved access approach becomes an important and integral pan of the property, we request that when the <br />Applicant is not the owner of the property a statement signed by the owner or his legally authorized representative <br />concurring in this application be attached to this application. <br />This form is consistent x~ith the Procedures, Regulations and Stand2rds for Permit Application and Construction o1 <br />Approaches to State Highv:ays, April 1973. <br />