HomeMy WebLinkAbout20093220.tiff•
�•t:' • 1 ■■
.
1�m •
=mei
- = -
"4 •
CR 96
2009-3220
•
•
•
•
•
ti
40° 41.151' N 104°43.217' W elev 5095 1t
t
Eye alt 11497 It
r I.0 L.VN191 A RVT.���itYG7U t.�ii r� w:iit�i3Yl� i1 4L.
• Weld County Public Works Department Date____________ ZZ
1111 H Street P.O. Box 758, Greeley, Colorado 09632
Phone: (970 )356-4000. Ext. 3750 Fax (970) 304-6497
1 Applicant Name "D. 6auea_, t4 S Phone �1'TO -30¢— igi‘
Address 1(11 City Great!' State C.,9 rip "WOO
2 Address or tocabon of access Farce ( 0.5-53 D(Dt2i2PLO SE Yq
•
•
Section ( Township P Range
Subdivision IJM Block Lot N/A
Weld County Road * 2 7 Side of Road WEST T. Distance from nearest intersecbon,57)(2
3 Is there an existing access to the property? Yes
# of accesses
4. 5rosed Use:
Permanent D Residential/Agricultural O Industrial
0 Temporary U SubdMsion 0 Commercial 0 Other
tM/M►Hr~tiThtibrmeMNfa}ewsMMiii NWnlit*►*******1MYMf,*** &/a** tieVnit a ..N.'Rf**NR4Ia-* $ YtMM
5. Ste Sketch
Legend for Access Descriptions
AG = Agfl ural
RES = Residential
O&G = Oils Gas
U.R. a Ditch Road
0 = House
0 = Shed
= Proposed Access
• = Existing Access
MP = /•tine (1 t
N
w
C
R
WCR
° 1449i
GC
4=7‘.
w
C
R
OFFICE USE ONLY.
Road AOT Date Accidents Date
Road, _ ADT Date Accidents Date,
Drainage Requirerneni Culvert Size Length
Special Conditions
3 Installation suthonzed 0 Inforrnsbon Insufficient
Reviewed By: Title
http://www.co.weld.co.us/departments/public_works/Pcrmitting/ACCESS INFO SHEET.doc
Hello