§550.APPENDIX D. Access Agreement  


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  • STATE OF ILLINOIS

    DEPARTMENT OF TRANSPORTATION

     

    ACCESS AGREEMENT

     

     

                This agreement covers the entire property served by entrance(s) described in Highway Permit, District Serial No. __________.  The entrance(s) to be constructed (is) (are) to proved access to the following described property.

     

     

     

     

     

     

                The undersigned applicant (whether one or more) represents that he (they) is (are) the sole and only owner(s) of the above described land and does (do) hereby covenant and agree that the above described driveway(s) shall be the sole and only ingress from and egress to the State highway for any or all of the above described land whether same may now or hereafter be subdivided or owned in separate tracts or parcels.  Applicants further agree that the Department or its successors or assigns may enforce such covenant by any proceedings deemed desirable at law or in equity in addition to any other rights or privileges the Department has or may have.

     

     

     

    This agreement is hereby accepted and its provisions agreed to this day of _____________ 19____

     

    Approved this ___________ day of

     

     

     

     

    , A.D. 19____

     

    Signed

     

     

     

    Applicant

     

    STATE OF ILLINOIS

    Department of Transportation

     

    Mailing Address

    By

     

     

    Regional or District Engineer

     

     

     

    City

    State

     

     

    STATE OF)

     

    )

     

     

    )

     

     

    )SS

     

    COUNTY OF)

     

    )

     

     

    I, ______________________________, a Notary Public in and for said County and State

    aforesaid, do hereby certify that

     

     

     

    who ______________ personally known to me to be the same person ___________ whose name ________________ subscribed to the foregoing instrument appeared before me this day in person and acknowledged that ______ he ______ signed, sealed and delivered the said instrument as ______________ free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the rights of homestead.

     

    Given under my hand and notarial seal this ______ day of _______________ A.D. 19____.

     

     

     

     

     

     

    Notary Public

     

    (SEAL)

     

    My Commission expires

     

    , 19____.

     

    BT 1363