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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Department of Public Works
111 H St PO Box 758 Greeley CO 80632
Phone: (970)356-4000 x3750 Fax: (970) 304-6497
Road File#: Date:
RE#: Other Case#:
1. Applicant Name JLW Investment, LLC Phone(303) 349-7586
Address 351 Glencoe St. City Denver State CO Zip 80220
37525 Hwy 392
2. Address or Location of Access
Section 18 Township 6N Range 63W Subdivision Distance from nearest intersection Lot
`
Weld County Road#: Hwy 392 Side of Road N 1
880
3. Is there an existing access(es)to the property?
Yes X No #of Accesses 1
4. Proposed Use:
0 Permanent 0 Residential/Agricultural 41 Industrial
0 Temporary 0 Subdivision 0 Commercial 0 Other
5. Site Sketch
Legend for Access Description: WL....
AG = Agricultural
RES = Residential wcQ 'le,
0&G = Oil&Gas
D.R. = Ditch Road
G = House A 6
0 = Shed R 6
3gti
=Proposed Access N /
=Existing Access - —�- %. ���
oiCR 6B•% -
--- 1 7
--- I - •• •
OFFICE USE ONLY:
Road ADT _
Date Accidents Date
ADT Date Accidents Date
Road Culvert Size Length
Drainage Requirement
Special Conditions -
0 Installation Authorized 0 Information Insufficient
Title:
Reviewed By:
-9-
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