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'kJ\ 1 A \ • \ Ns \, -- \-Ns \ . \N_ \\ . . : ,,,„6 \ \ 'b!‘f "tc' , **41:‘,y� +ti \ `l l l N at 'Sit. 1 j s. \et...‘‘\\\:\.,LIP:1,,: \\*::\:\ \\i„ir s I ii,;g4170.:.:". :I" •• N4‘0 ' . "r" . , \ \ ,,NN , ,..,\1/4\\\\ \ „„...N.:\ -.., D‘ iltal 44: ..::\fr - • failer '' •� -lit: :::.. \\ yam\ •\ --' ::::: , a\ � ��'' 'S 'V •T • �'T . ' - 7 . -- l• L _ - i ■rr� r--r--•.- I \,. `•' 1%,, %,, •� �ti. •t, t lltir -,Y� ` � ry�.�y1 _�► � iC"�� 1 e 1 v \ -,y •:,�••� �•\ •. •,•�.. ., •\ `-.� 'T- �ir �1 �y 1, t. •Y. .. 1 y\\X R \ \ \. • \ti !+ �, \ 4 `� l '*� 1 ,�\ � �,� a\ \ tit j! �.\ \�'t4 \ 'ti4 ,, \� 1‘. \ 4 `• 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 T p u a`)qc�c' -t r Phone 363-68 -5 y-) $ Address3"70 (�1CR�1/6 /ate City (A fie- State (b Zip�5O`f- 2. Address or Location of Access 43`t3g LU-d t C.gtc t' P_d £ RLLQ Co &o 50`4 Section a-3.Township I Range ? Subdivisiod Block Lot Weld County Road #: Side of Road Distance from nearest intersection 3. Is there an existing access(es) to the property? Yes ,// No #of Accesses a 4. Proposed Use: ❑ Permanent ❑ Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial U Other R##h# 5. Site Sketch • Legend for Access Description: I AG = Agricultural RES = Residential O8G = Oil & Gas is D.R. = Ditch Road O• O = House - �1 = Shed A = Proposed Access • = Existing Access146 � RI ac NI #+#,#, OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions ❑ Installation Authorized ❑ Information Insufficient • Reviewed By: Title: -9- Hello