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317 South 2nd Street MONTROSE COUNTY Access Permit # <br />Montrose, CO 81401 ACCESS PERMIT Building Permit # <br />Phone: (970) 249-6688 Parcel # <br />Fax: (970) 249-fifi80 Fee: <br />/' \ Received ey: <br />SITE ADDRESS ~ ~ r <br />Owner's Name: GR .Phone: Sb 1 <br />Mailing Address: ~ - 1[~~ r __.l M Prl -~ S~ y ~~z"1v ~ I-t~'~S {--f (~1"~ FI ~-~~ <br />C' t~f2T~Z~~ ~s't?~~ _ New Address Required ^No Yes (Separate form required} <br />Subdivision: ~,~~ ,~/~ rY1 1 ~Q ~, Lot Number. Lot Size: <br />Contractor. Phone= <br />Applicant: _-~_ ---_-- -~_.~--_~--- -- ------ - <br />Sigreture pate <br />iJpon fire signing of this permlf the applicant agrees fo the Terms and CondlNons {on reverse) and nrrleronced etfaehmenta ecvrtalned herein. <br />,,~,Q~TR~IClIvA' 3 'aLl N T BFOIN L~7 L E PPLrG, T 2~CE+~~ THE SIQNE OOiD N!`ROa COPY. <br />For appointment please contact County inspector: _ _~ ~__-~ Phone: ~___. <br />^Arterial <br />pcouector <br />^tocal <br />EMY DRIVEWAY <br />dusVlaUCommerdal <br />Realdentlsl (1, 2 or 3 Family} <br />Field Approach <br />^Arterial <br />1]Colector <br />Olocal <br />PLOT PLAN -Show EXISTING property lines, Duildinga, County RoaCS ana anveways rn r n vrmcrwwna <br />.._._..._~...._.. __, ~_ _~.,e_sa..a......a ae~~u~ a.d~w nrnvworl nn Phis farm. AildiOnnel olarrs and sDedficat <br /> CMP Length: <br />~.DrNeway Location: ~ CMP Diameter <br />Embedding Material: ~ Embedding Depth: _~_- _ Grade ®Road Surface: <br />ACOesa Surface: ~~ ~• Sigh Distance: Aaess Sparing: <br />Aooass W idtlc _ Access Radii: Entering Sigh Distance: <br /> ^ADT <br />Signage InsteAed: OYes ~No AccellDecel Lanes Required ? ^Yes }~lo Access Vokane: ^DHV <br />d ^Y <br />s ^No <br />id Schad ed work Dates: Start End <br />e <br />e <br />Evidence of lapel right to access prov <br /> r <br />manta: '~ ~ / <br />T8 4tCorrs r Wis. ~Yf.G~t t t v G / Wo r 5 t / r~ ~ / ~ <br />~ rr.-~ / <br />Plans end specifications given above are approved for Installation: -- <br />-- <br />~ <br /> sneer <br />Installed system complies with approved plans and s pedflcations:______ ------- - <br />Date <br /> County Inspector <br />PEfiMrf APPROVAL: <br /> County Engineer Date <br />WHITE - tTrrner (Finan CANARY -Lend Use (Flnal) PINK -Engineer (FlnaQ GOLDENROD -Owner (Constructbn Approval) 05f2007 <br />