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TION OF ROAD MAINTENANCE CLASSIFICATION <br />JUL ~ 8 2001 'II ~~~ MOFFAT COUNTY ROAD DEPARTMENT <br />T~fomt must be approved and aCadted to the Matf& County Road Deparhrlerlt FbgM~€Way Access <br />Permit Appticadon prior to car-sideration of approval of access corrsbuction. <br />APPLICANT <br />LOCATION OF <br />CHECK APPROPRIATE BOX AND SIGN: <br />This access location ~ located on a ~r-round maitrfairu!d county road. This does not <br />guaraertee-ttratthe coresy road aecessurg the aces Mes~ion is marRtained on a <br />regular basis or that strove is plowed on the same day tt ocwrs. <br />pate: <br />Land Owner w Legal Representative Signature <br />1181derstand this access locabon is On a °NO WINTER MAINTENANCE' st~tiOn Of <br />pate: <br />Land Owner w Legal Representative S"grlatrrre <br />© Before cottstructiotl begins, applicant must receive a Rightot-Way Access Permit trom <br />the Moffat County Road Deparintent. Permits are not always granted dry fA conditions <br />of specific lord (ie. 6fitd wrvas, steep grades. etc. You tmtst cotttact the Road <br />Oepartmerd and obtain your access permit before begimdrtg co~bvctlal. App6carrt <br />understands that rto final inspection of the wnstruction site wiU occur or certificate of <br />occupancy issued utltii the terrrrs and conmtiorre of the R'ightaf-Way Access Pemrit <br />Imve been corr~teted. <br />__:r/r~ , S~~ Date: t.+.•' / ~~ <br />Land Owner Legal Repteserrtati++e Signature <br />Cowrly road. Motfat will trot mairrtaal or plow this section of road from <br />approldrtrateyr November 1 throttgh Jude i° or lacer deperld6lg upon conditions. -The <br />County does not allow private in~vldrmis to plow or mairtlain County roams wifhaR a <br />permk. 1 understand and agree that no winter mairdenance of this road may atTect my <br />use of mY ProPmtY during w6roer tnorrtlrs. <br />~~~GJa~ ~ <br />Date• <br />