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Applicant Name(GrQ01 al Les FlaI W1.eS Phone 303-931--1,4(i3 Address io I Q,O CP_5 City Cr;c State CO Zip 8()c,( 2. Address or Location of Access TB k y 5 Z CD0 L Section 5 Township 00I Range ILI Subdivision t Qt& BI arftlS Lot ( U� to t Weld County Road#: / Side of Road ,kh Dis ance from nearest intersection J&D ' 91C e25 �✓ 3. Is there an existing access(es) to the property? Yes )c' No #of Accesses 4. Proposed Use: ❑ Permanent A Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other ******************************************************************************************************************************* 5. Site Sketch: Legend for Access Description: p r 1441it • AG = Agricultural el f n r V RES = Residential ^ n O&G = Oil&Gas Nt. D.0 R = HDitch ouse Road (!) f ttifri O = Shed kPh A = Proposed Access • = Existing Access Nfi 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: • -16- • File contains oversized Final Plat, Utility, and Landscape Maps • Please See Original File • i _ • .. R . W P iep I i` N . O o g. 9 x i Y4i !p i— t g F $ $4 o 3 '5 l$ e�gg4 !i t Y a g i D ,� ..—.tib a Y;6p air •��b �' • g g r 4 y ! !g$ il y i a g 6" ' ` A ggigg .` 2 8 s ,fie, a �°; Hill Y I• I I ..4ivi ! Ytl ` t I a b 3g . . . a .. pi '10-1,1c y •! --- iY idP y F IvAi pp i gs iil �! t a 1.k S; 9 ...._ va ;4(1 -4� R 9 Ili Al y.y p i i• 2 4 itiM 111 MCC B6isYy IliY 3 iii§i i46 e aYeg c J• b S i S i I9 e i i g! i6 'Ir,i ! 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