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Doc Date:12/11/2001
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<br />DCPAnTME1JT OF MIGH\yA l$
<br />ST•'QE OF CGLOgADO
<br />prJl$ION OF HIGHw'AYS
<br />DOH cnm 101
<br />PA'x.PPm 156a
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<br /> localJw~sol Upon
<br /> Disl'Secl~oniPaaol
<br />STATC DEPARTMENT OF HIGHWAYS Dort Pe,n,n NO .> ~->~ =-
<br />ACCESS PERMIT Pn,o,.IF"' _ ____
<br />Da1c of TransmnlalYT
<br />IV m:. !.r :g`., °, .. P. ', '.re `.. r :~.r~, herein calletl '
<br />44 ( permlltee) is granted perm4slOn
<br />to COn5lruct an access approach on the !'slCe OI Sla l2 Hlg h•,vay " a distance of '-"
<br />lee~~ Irom mtlepost ~'~ also known as ,for the
<br />~; purNp~ra`Cif oDla wing access to ~'-' ' Tne access approach shall De con strueled.
<br />~~LJ~~i n~alned and used In accordance wnh the Stale Highway Access Cotle. the terms and conddlons of (his permit, site
<br />-' r¢q un emenls noted below, this paragraph, antl bsl¢d altachmenls. This pcrnul may be revoked Dy Ih¢ Issuing
<br />authordy II al rim! time the pe: milled access approach and Its use vl olate any of the Icrms and rontlrtlons of Ihls permll
<br />or the State Hlyhway Access Coda The use of aUvance warning and co nsVUClion signs, flashers, ba rricaUes and
<br />Ilagmon are requlretl al all IIme5 during access approach rouslrucllpn within Slat¢ right-ol-way 1n Conlormance with
<br />Ihu LtANUAL ON UNIFOFlM TRAFFIC CONTROL DEVICES, Parl VI. The Department of Highways. hs employees
<br />and agents shall be mdemnilied and held harmless against any action or damage to prope!y or persons su sla ned by
<br />reason of the Czorclse and use of IhlS permll
<br />SITE REQUIREMENTS
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<br />V/here the appropriate local authority retains issuing authority, local approval is required
<br />h1U ^JICIPALITY OR COUNTY
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<br />By (X) Date Title
<br />Upon the slg ning of Ih1s permll Iho parmlhe¢ ag!ees to the forms and conditions and relerenced allnch merits
<br />~ cnctained herein All construction shall Ge complel¢d .n an ex pedalous and sale man her and shall be 1in15hed v: ilhln
<br />45 tlays from inillallon. The pern,lltpd access approach shall be coin pleled In accordance with the Il:rms and
<br />condltlons of the permit prior to being used. The permillee shall nOldy ~ 1 ~ ~ III"~~''~
<br />will[ the Colorado Department of Highways In ~ ~ ~ ~ - al "' -(' ~~'
<br />at leas) 48 hours prior to commencing construction within the State Highway right-ol-way.
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<br />The person signing as the p¢rmiltee must 6e the owner or l¢gal represenlallve of the property servetl by the permitted
<br />access.
<br />Per milieu (X) Dale
<br />This P¢rmil is not valid until sgned 6y a duly aulhorlred represenlallve of Ih¢ Slal¢ Department of Hlgh'xays.
<br />GTA FE OF COLORADO. DIVISION OF HIGHWAYS
<br />ROBERT L CLEVENGEFl. CHIEF ENGINEER
<br />DyIX) _
<br />CGPY UI'vTnISUTION
<br />\:Inli, n.1TCE ficcnon
<br />Pink. APO~~'-.un
<br />Canary. LOCal JuncJmbun
<br />Date
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<br />C. Lilt. Stall Fp:'1
<br />PmF. MTCE aalml rJ~
<br />Canary. Inspector
<br />blue. Tmnic Eng
<br />III IIIIIIIIIIIII III
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