Laserfiche WebLink
INSTRUCTIONS FOR COMPLETINGAPPLICATION FORACCESS PERMIT <br />(CDOT FORM NO. 137) <br />January 2010 <br />To construct, relocate, close, or modify access(es) to a State Highway or when there are changes in use of <br />such access point(s), an application for access permit must be submitted to the Colorado Department of <br />Transportation (CDOT) or the local jurisdiction serving as the issuing authority for State Highway Access <br />Permits. Contact the CDOT Regional Access Unit in which the subject property is located to determine <br />where the application must be submitted. The following link will help you determine which CDOT Region <br />office to contact: <br />http://www.dot.state.co.us/AccessPerfnits/PDF/Region_Address_and Map.pdf <br />All applications are processed and access permits are issued in accordance to the requirements and <br />procedures found in the most current version of the State Highway Access Code (Access Code). Copies <br />of the Access Code and the application form are available from the CDOT Headquarters, Access Unit <br />located at 4201 East Arkansas Avenue, Denver, CO 80222 and in each of the six Regional CDOT offices. <br />The locations of CDOT Regional Offices, the Access Code and the application form are also available <br />from CDOT's web site at: <br />http://www.dot.state.co.us/AccessPennits/mdex.htm <br />Please complete all information requested accurately. Access permits granted based on applications found <br />to contain false information may be revoked. An incomplete application will not be accepted. If additional <br />information, plans and documents are required, attach them to the application. Keep a copy of your <br />submittal for your records. Please note that only the original signed copy of the application will be accepted. <br />Do not send or enclose any permit fee at this time. A permit fee will be collected if an access permit is <br />issued. The following is a brief description of the information to be provided on each enumerated space on <br />the application form (CDOT Form 137, 2010). <br />1. Property Owner (Permittee): Please provide the full name, mailing address and telephone <br />number and the E-mail address (if available) of the legal property owner (owner of the surface rights). <br />Please provide a telephone number where the Permittee can be reached during business hours (8:00 <br />a.m. to 5:00 p.m.). Having a contract on the property is not a sufficient legal right to that property for <br />purposes of this application. If the access is to be on or across an access easement, then a copy of the <br />easement MUST accompany this application. If federal land is involved, provide the name of the <br />relevant federal agency AND attach copy of federal authorization for property use. <br />2. Agent for permittee: If the applicant (person completing this application) is different than the <br />property owner (Permittee), provide entity name (if applicable), the full name of the person serving as <br />the Agent, mailing address, telephone number, and the E-mail address (if available). Please provide a <br />telephone number where the Agent can be reached during business hours (8:00 a.m. to 5:00 p.m.). <br />Joint applications such as owner/lessee may be submitted. Corporations must be licensed to do business <br />in Colorado: All corporations serving as, or providing, an Agent as the applicant must be licensed to do <br />business in Colorado. <br />Instructions for completing Application for Access Permit (CDOT Form #137), January 2010 <br />Page 1