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http://maps2.merrick.com/MerrickIMS/ims?S erviceName=weldovr&Form=True&Encode... 12/5/2009
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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 .vt lvil ii l� ye.! Phone ..:3C6-7-72 "2 t I J
Address Iq'I3('• f.. ter: 'v C,vu-. I. City bpi 4 WIC:ti' State CC Zip 5C,56',/
2. Address or Location of Access 1/11,55 C. (Ic'u,t y Zinc. kd.
Section i i Township .=S Al Range ✓65 gin.' Subdivision Block Lot
Weld County Road#: I Side of Road Cf:t5t Distance from nearest intersection
3. Is there an existing access(es) to the property? Yes X No #of Accesses I
4. Proposed Use:
❑ Permanent * Residential/Agricultural ❑ Industrial
❑*Temporary U Subdivision Commercial ❑ Other
** ***
************************************** ********************************rt*************************************
5. Site Sketch
Legend for Access Description: ra
AG = Agricultural �■ ����� -���
RES = Residential •
O&G = Oil&Gas
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D.R. = Ditch Road 0L'% -Et At . Q
p = House `s4.,�
Proposed Access epcc I]
• = Existing Access o4'1
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HAM (c4
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****,...************.******************
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:
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