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''�!' i. . . „{\ rt stinah®my -{2.z,„, t ' 4, --, . is , . m. .r -,,,,,,„\,, - � x `# % � - °a ,-,--, i :-..,,:u - ,- ,41 r ,t, = , , =., . $A ..,�, ",�y mit a �w '� ` ! €,dor 001 ri � � . t f, r. €�§ ., 4 * F ..,k T. s ‘.14 lill 3 r I ' ' Y I i r a t,' f( d A ,, t i°a� rf w h F �R S : 3 r r i i FY 6° iI I fIV- G; ,f ty .,If fgr Mga , f= Y I, • S4 o,.. Y '' � — '" �� a` f :.� ._ r "" I' ri s < cLfr € � i'e Y r,4 f '�i i3+'I �� it �� f ii \�iL�� u A �i 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: RE# : Other Case#: 1. Applicant Name kept, * neVA-H e MOT tin Phone 4116 -(p -,219;'1 Address IC'I7`, Hil,it( ,'42 City 1n1;rlO5rrr State (i0 Zip Ft)Scc 2. Address or Location of Access 0 '/VIC Cr‘r\inn C.. ('1ir9!> lAWTiIC S"�n Section Township 7 N Range (r7 W SubdivisionPrc' c,e Qi gck Lot I Weld County Road#: ,,'N Side of Road ,3cu Distance from nearest intersection c,LOO-C-4 3. Is there an existing access to the property? Yes t No #of Accesses c2 A-1 4. Proposed Use: El Permanent ® Residential/Agricultural 0 Industrial 0 Temporary ® Subdivision ❑ Commercial 0 Other ******************************************************************************************************************************* 5. Site Sketch Legend for Access Description: c 5 AG = Agricultural E0+4.e( Pro( ' RES = Residential . Ct' 8 O&G = Oil&Gas Ly„+ D.R. = Ditch Road Pccesoi CO ` e A s V4,1t O;4c4 O = House O = Shed L041 A = Proposed Access — A = Existing Access Ni *+********************************************* OFFICE USE ONLY: 7 Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions 0 Installation Authorized 0 Information Insufficient Reviewed By: Title: -7- — — � ©_w_ . . , OD 4 / 404 NILDIVII y ,_ z . \ \ _, ,, fs" ,!EiI , !.. V gigii _ , , O / - . «4.4 o ` . w < »° e } : . - Kw : \ - -b-' \ . . , 6 «d2?:»s a ? 2« \tom -2 y:w ! ^© asw® - � , --0-4,e--s \ ; — - 1 «m � ; . . . . a . - : T y sy y \ / r. AA ! A. A. ; \ ) | I 2i ii i ) - ( ,F. ' 1 / $ } ) - : ) \ 2 \ / � \ D. ) � 4 . _ zt 9 ) \ ! , - HI 7 \� } \ \ \ � ,...-z. } :ii ; : ] \\ } . - . \} |W | IDr ern. - -�frl. — __ - I - �' �",d o,e t. ,a..� sa —xa L � w 444 r A't v c YN 2 x c z ' L ��y ir F3 eF e Via* Hello