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' rcNlzzLTa couNn Row DzP~a- ='v- <br />. . lsfiD u+r7. lls, coRTZZ,~ellzl <br />{9'10) 563-B5fi <br />' APP LI GTIdN <br />In OrCe: CO [dCl li :d Ce CgmDanlea dntl 1nO1v: L'ud19 ^eetllnq CO d1q 1n, q: CisCU CD, d <br />county right-of-way this application must be uor..p levee p:lor [~ said dctiv: ;y. <br />•-~- oaLC~ Ard:ess o[ Acu ~1 :y <br />1 ) ~ o ic. _~J.. nc•_O 'Z ~ _ <br />h'ue uf/ ^mpany U ~inclvitlual Company Address , <br />Name ~S:gnacure oC R¢preaenc ann: ive Tol¢phone NumCer <br />7oa must rnntaeG ~~,~ 1' ~1 m rr aG BLS ~ Cn <br />21 heure baloe• comment q .ark oo e^IS projaer. TRe Y.oncuruna County Road <br />Fa re ma n, by auCno ri ry vY Rea of ucinn [11-93, adopted by the ion tez u.:a Cuunty Doa cd <br />oC Commissioners, Rx:eby authorizes the above nametl applica n,~rn pu c e (u Llowi nq <br />lincluding type and exact road lord ri ons) ~~~ .~.,i~, -.h~n~h_~.((~l <br />C _ <br />_, C , SP (7-~ _ - <br />PLLASD Alt aru A BASIC 61¢ICB OF CON6SAUG7:d1 ALT MST•• <br />Ctx1PL LV+Ct fR IX LU1: Applica r.c ana1L ar. all [in.Ca comply wicn all rules anJ <br />regulations of the Slate o[ Colo radn and non[er miu County 1n comieccion wiln sucR <br />cons csuction, Sns calla;i un, placi ml ur use aucho rived he reunde:. <br />APOLI C.L'+T 1NST CONTACT TXE UTILITY NOT Ii ICAT10N CEb-I'ER OF CO WRAIXI AT <br />1-BUO-522-1gtl7 PRIOR TU D[GGiNG F'OR UTII.1'CT NOTI F'ICATION A.NO Lf%:A'1'[ON. <br />ONE CALL TICKET Nll;'9~R IS: <br />s2P4: Th¢ Lollowinq Cues are in of Cecl for [ne cu r: ent calentlar year: <br />• DR.LVL7GY: Hes itlCnClal Or CUmmerCldl: X100.00 per lo<atlon <br />• AIOX L`4ACS: <br />_ AOAD nAPaLB: As phalc roads: 71,000.00 pr location <br />Gravel toads: 5 500.00 par location <br />• It[JAD eOAL: Asphalt roads: S 50.00 par louticn <br />G Gavel roads: ! 50.00 par location <br />• All wo[k pertorned Itom shoulder o[ road [O bottom of dl[cl+: <br />7500.00 per aLLla of 7.10 par Loot <br />• LOfr IhCPACI: <br />Bot[om oC UitCh Lo 0..0.X. Cence: 750.00 par lxatlon <br />All work pe[fo rcd from boc:om of di cch ro n. O. w. [cote: <br />7250.00 per mile mr 5.D5 par foot <br />• All applicants are onuouraged Co du construction as Car Cron the road shoultlet <br />as puasiblC. <br />• All applicants are responsible fur tRe clean up of the county right-ot-way. <br />• Applicants shall immadiacely repair and Yesro re all diviurbanCes o: CRe roatl or. <br />right-ot-way Lo current county specificaclons. Upon fallurx Lo do so [he <br />Cuunty may repair o[ res COCe antl the applicant shall be liablC co, and ove, Cne <br />nouncy [or all reaaonaDle costs and expenses Sncucred. <br />• No company o: person snail dig Sn, or tllscurb, cqun[y cignt-oC-way wieRout <br />complying with ctie abov¢, If Lne re is a bona fide emergenvy, sultl company ur <br />person shall deal with th0 tae rgency in an app:op ciace manner anv damply wiCR <br />LRe above p[ucedu r¢ on Ll+e next wo rkinq oa y. <br />iZES : <br />/ <br />( <br />I <br />I <br />TOLAL CUE A'`10 PAY P3 LE <br />: <br />21 <br />71 100.00 ~ <br />C <br />300.00 (tip GrPQ .Q <br />I <br />\ MSG S aa Ottl[ <br />~ <br /> <br />\\\ d~ ~ <br />,a <br />1) 1,000.00 <br />51 5.10 per CoaC x [C. - lX /. /9 f <br />5) 5.03 per Poo[ x -f[. ~ 519 nacy:v Distrr cc Foreman Oace <br />?gmr~~, <br />