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PROPETYLLC
00272 2000 1 MCOOWALL MAR/AN L.
0037323000/0 02/505000007
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T/ETMEYER VONOA JEAN BCKHEATHPROPERT)
00373/000003 021506000001
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: f-2--O$ _
RE# : Other Case#:
1. Applicant Name'ij)41r. Phone 9 k) —S1`15 2-ejz/7
Address GSgYK Cc, rtir City (rrrvcr State Co Zip S"-O 7-7
2. Address or Location of Access.6cin .Cn. n-i 99 6-ro rCr 1 C. g 0 7 L`7
Section /L Township 6O Range 3 Subdivision — Block — Lot 3
Weld County Road #: 99 Side of Road Distance from nearest intersection /"tic-
3. Is there an existing access(es) to the property? Yes X No #of Accesses I
4. Proposed Use:
lig Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision Commercial ❑ Other
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5. Site Sketch
Legend for Access Description:
L_
AG = Agricultural COO .`7 >i Y j
RES = Residential
O&G = Oil&Gas
D.R. = Ditch Road d 1 CJ /. G
= House
= Shed
Es = Proposed Access a
= Existing Access 3 0
r� �o A&G v
NT k A& SO
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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:
-9-
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