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2009-1459
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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 f3er nci+ Phone Rio -S9 i -a-T77
Address iccoSTC t„c 4Cr City toonr„ State co Zip S{croy$
2. Address or Location of Access t G la G, l u C 2 U C. , Nunn , CO 8 o co (lc&
Section \\ Township 3 Aj Range Cot, Subdivision Block Lot
Weld County Road #: 9 (o Side of Road S Distance from nearest intersection 47;e757-6- cc C2
3. Is there an existing access(es) to the property? Yes X No # of Accesses
4. Proposed Use:
W Permanent 0 Residential/Agricultural 0 Industrial
0 Temporary 0 Subdivision 0 Commercial 0 Other
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5. Site Sketch
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil & Gas
D.R. = Ditch Road
O = House
0 = Shed
= Proposed Access
A
= Existing Access
OFFICE USE ONLY:
Road ADT
Date Accidents
Road ADT
Drainage Requirement
Special Conditions
Date
Date _
Culvert
Accidents
Size
Date _
Length
0
Reviewed By:
Installation Authorized
0 Information Insufficient
Title:
-9-
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