HomeMy WebLinkAbout20090708.tiff•
•
•
FORT LUPTON
2009-0708
I ee4alee`lYlQ₹Q
co
iu
a.
LU
cn
m
wco
�O
ji!1EirNIHI pil"Bli!iifililfp!
III�IIIiiBiNN l�l���dM�A�N9���N�9
! 8-. . .p.A
1
II
sk
sl
p iF
311 2d
I
• •
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 #:
•
Q r 4 cf Sr.3 - 857- / 13V
1. Applicant Name enJa.+„h �• flans r �`• Phone
Address 15376 !' e.„•oG.+t_ Ave... City p11...2{o„ State i/o Zip yo6L/
2. Address or Location of Access /f 3 7 L a-ro th-t .4��L� — uQ
Section Z7 Township OZ. Range {�4 Subdivision2NOC. Block 29 Lot I
Weld County Road #: Side of Road Distance from nearest intersection
3. Is there an existing access(es) to the property? Yes .------No
4. Proposed Use:
LB' Permanent 2—Residential/Agricultural
❑ Temporary ❑ Subdivision
5. Site Sketch
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil & Gas
D.R. = Ditch Road
= House
O = Shed
A = Proposed Access
• = Existing Access
OFFICE USE ONLY:
Road ADT
Date Accidents Date
Road ADT Date
Drainage Requirement Culvert
Special Conditions
NT
# of Accesses
L
U Industrial
a -Commercial ❑ Other
Accidents
Size
Date
Length
❑ Installation Authorized ❑ Information Insufficient
Reviewed By: Title:
-9-
Hello