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Box 758, Greeley, Colorado 80632 Phone: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497 Road File#: Date: October 15 , 2007 RE# : Other Case #: 1. Applicant Name Roger Patten Andreason and Diane Kay Phone 303-465-1703 Address 342 N Shores Circle City Windsor State CO Zip 80550 2. Address or Location of Access 379 Highway 52 Section 31 Township 2 Range 68 Subdivision Block Lot Weld County Road #: Hwy 52 Side of Road Distance from nearest intersection0.5 mile 3. Is there an existing access(es)to the property? Yes X No #of Accesses 1 4. Proposed Use: ® Permanent El Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other 5. Site Sketch Legend for Access Description: AG = Agricultural RES = Residential -.I H O8G = Oil&Gas D.R. = Ditch Road O = House o • O = Shed ao x = Proposed Access ro w A = Existing Access z — —-- — N N a 13.74 Ac l , N Property `n NTxe z AG \ 3 Ln O N U 'V HIGHWAY7 nd *Existing and Proposed Access 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: CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD all -10- Hello