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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Department of Public Works
111 H Street, P.O. Box 758, Greeley, Colorado 80632
• Phone: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497
Road File#: Date: 2 • /4 .2.W7
RE # : D Other Case#:
1. Applicant Name TDRRE'( DESIGN S IIDIV ,LLG Phone 2B 2 -0/ 4I
Address 3240 NORWOd COURT City Ft C0LLINS State Co Zip $05'5
2. Address or Location of Access SOUTH of 3210 23 C R DR►VtWAY * 300-4c'
Section ZJ' Township 1,N Range W Subdivision Block Lot C
Weld County Road #: 23 Side of Road Distance from nearest intersection till
3. Is there an existing access(es)to the property? Yes V No #of Accesses
4. Proposed Use:
K Permanent ❑ Residential/Agricultural a Industrial : I✓laintevianlCe fac Ir tfi
❑ Temporary ❑ Subdivision U Commercial ❑ Other
5. Site Sketch
Legend for Access Description:
AG = Agricultural +N 1 3i 2
RES = Residential �J
O&G = Oil&Gas
D.R. = Ditch Road RES
• in
= House
CJ = Shed
M
= Proposed Access N
= Existing Access
AG
v1 `.
IMDUST- 6. IIJDUSTRIPtL
RI M-
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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:
•
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