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3. Address of Property to be Served: Provide if property to be served has an official street <br />address. If the access is a public road, note the name (or future name) of the road. <br />4. Legal Description of Property: Fill in this item to the extent it applies. This information is <br />available at your local County Courthouse, or on your ownership deed(s). A copy of the deed may be <br />required as part of this application in some situations. To determine applicability, check with the <br />CDOT's Regional Access Manager or issuing authority staff. <br />5. State Highway: Provide the State Highway number from which the access is requested. <br />6. Highway Side: Mark the appropriate box to indicate what side of the highway the requested <br />access is located. <br />7. Access Mile Point: Without complete information, we may not be able to locate the proposed <br />access. To obtain the distance in feet, drive the length between the mile point and the proposed access, <br />rounding the distance on the odometer to the nearest tenth of a mile; multiply the distance by 5,280 feet <br />to obtain the number of feet from the mile point Then enter the direction (i.e. north, south, east, west) <br />from the mile point to the proposed access. Finally, enter the mile point number. It is helpful in rural or <br />undeveloped areas if some flagging is tied to the right-of-way fence at the desired location of the access. <br />Also, if there is a cross street or road close to the proposed access, note the distance in feet (using the <br />same procedures noted above) from that cross street or road. <br />8. Access Construction Date: Fill in the date on which construction of the access is planned to <br />begin. <br />9. Access Request: Mark items that apply. More than one item may be checked. <br />10. Existing property use: Describe how the property is currently being used. For example, <br />common uses are Single Family Residential, Commercial orAgricultural. <br />11. Existing Access: Does the property have any other legal alternatives to reach a public <br />road other than the access requested in this application? Note the access permit number(s) for any <br />existing state highway access point(s) along with their issue date(s). If there are no existing access <br />point(s), mark the "no" box. <br />12. Adjacent Property: Please mark the appropriate box. If the "yes" box is marked, provide a <br />brief description of the property (location of the property in relation to the property for which this <br />access application is being made). <br />13. Abutting Streets: If there are any other existing or proposed public roads or easements <br />abutting the property, they should be shown on a map or plan attached to this application. <br />14. Agricultural Acres: Provide number of acres to be served. <br />Instructions for completing Application forAccess Permit (CDOT Form #137), January 2010 <br />Page 2