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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) 304-64D97
Road File #: Other Case #:
RE#: Phone(303) 349-7586
1. Applicant Name SLW Investment, I.LC
Address 351 Glencoe St. City Denver State CO Zip 80220
37525 Hwy 392
2. Address or Location of Access Block Lot
Section 18 Township 6N Range 6314 SubDDistance from nearest intersection 1880'
vision Weld County Road #: Hwy 392 Side of Road N
3. Is there an existing access(es) to the property? Yes X No # of Accesses
1
4. Proposed Use:
r Permanent 0 Residential/Agricultural Ci In al Other Industrial
0 Temporary 0 Subdivision 0 Co
5. Site Sketch
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil & Gas
D.R. = Ditch Road
= House
•0 = Shed
4 = Proposed Access
A = Existing Access
OFFICE USE ONLY:
Road ADT
Date Accidents Date
Road ADT Date
Drainage Requirement Culvert
Special Conditions
Accidents
Size
Date
Length
Reviewed By:
•
0 Installation Authorized 0 Information Insufficient
Title:
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