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SING Will MY INCOR RECT.NCO UPLtTE OR USLEADING WO MAO II COOT INGD� • THOR!M.', No part N at potions ay te tOpld.Np}wl tc,U0I note Pled -i1VIDe'st toy illy rte' &tan N u laaoer.&.dNG.bttwot Nl b Will lea it. el illtalplo••• ROOM• _ 1NS.YrbtSty 13 OO111 klROligs&&0ra ti pp \r fM1C01 fIl0eM .UOOOy. ta CK a 0 1 SEVERANCE HNIY 14 J vr•,gc�c. \ �I� a _ \\� :;•�ti' ,o�T•i 'r •• OT pmoroilasDerr Oembped$ONT fOrhltbal 154 OFMTm NebCmsty Tit GSaaDNle ho ' MOM De ptOlct I IIMe9WCOMMItola19t TOR, a%CrmfalocOhphLea oal01d so; T M19Iarmie( Tit Otlyatbt of RV or woe li OTMO Ipyh tit capitals ONE sot bp/ `I - :r r t Rattle bT orpak.k ?t h9ayoRakOol Matte DO ern cop ppm' appbabk SDR /" ck • - ce lops MN. UNDER NO CIIICUMSTANCESIIAIITNE PRODUCT RE USEO.FOR f DIAL I e' S f N ' iF, . e ;• .'DESON PURPOSES, WELD COUNTY MAKES.NOWARRANTESOR GUARANTEES. 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O p II 2 ce II f1. il ''III I 1 /ii ‘Eic,I, J 191 yodole4'WV Z4:16 01.S00Z/bl/9'lelful'6MP dSl00996f\s6M+0 pays\s6wmeJO1.00546CVIe'000046EVX worm Weld 11L7fl LSY eNI is MBAs a moron *EMI UN ��r�� o t...taut pti-Cd0,M Lrt4J mu N••oti.rs6�7� ri o• fl MI ow OOYNOIOJ'MNflO3 G13A b o.•= GM 10a od ..`..�• SINK-36 ti0-SOLO ON is n a.... ?4'!404'1.1 T"WM'e/7 ONINMINIDNa Nd ® 9ah"+ r.. "'t ..... In 166610.O61101 661101 ..../„ ..t. Wild Nol76i-'O'n'e >r on von AN r ...s.w=lp..1 nerve 6:11.61.13 711 saai��i 01 0311,1314d II I I i k A iy Mi I is0 ..,21 i: ,II _ 1, tllli g®,..)ci)4) - W oLi, O �4 Z ,......„1 a' { r Q O K 0 �i p ''^^ if I-• ur ✓✓ it VJ cs O r�J 0 W I W �' I— n i- < r N a 0 i '9 Z W I w ° ! a J- Lei - o z 1 . 'a 4 2 QZ , o cnz I 1, _!i I '. d 4Z m 7-___ W IT w E l 2 O ce 'I •' .3 LO I !t I P— LL W r - __ • ~ LI Z I I p ' f re �� o a. J... .`?----_-___.._.. r l I I a .* +aa~a yodole4'Mt p0:917:0 I.S00Z/0l/9'ZeJ;ul'6e^prdSL00SV6£1s6MC le84S1s6uWeJa\L00Sb6£Ule 000006£1:X .. ,.d •� _ r._ $ Pi i a' I �—.. k� E g5 I firp EP. ' e.g� / s1s i. •• tgq s4g '`II ..„..„ / t aa p • w. r t,g0q Jy ,1 35 1 OD g.;a � , 1. - ) C z _ ..'Lt. 17 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 Soc.r.r°\ 5k:es Ve..t4L. res, L LL Phone 97n- zts- 02.99 Address Ro, any 17WS City Fort/ Cott-ins State Co Zip 8'os-n-Izas- 2. Address or Location of Access -^ I980,17' ylur}t, 04 44'. ,ri4ersec4;a., o4 tote [s 2 WCIL ILI Section S 5 Township '1r\ Range C.7LJ Subdivision tko.-c Block &O h Lot Za-3(.,9rLoa 3 Weld County Road #: t S Side of Road Qe.J+ Distance from nearest intersection N B. 17 ' 3. Is there an existing access(es)to the property? Yes V7 No #of Accesses 4. Proposed Use: ❑ Permanent ❑ Residential/Agricultural ❑ Industrial ❑ Temporary N Subdivision ❑ Commercial ❑ Other 5. Site Sketch Legend for Access Description: AG = Agricultural RES = Residential -I ) L_ �,QBG = Oil & Gas taco Sts R. = Ditch Road 14 Li = House O = Shed of 31► i.ttws A = Proposed Access um . a L91 CMt = Existing Access NT a Ay it II! It`Proposed Skcphc 41;it 6s-tai es IJGR 011 7 1\-- OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions ❑ Installation Authorized ❑ Information Insufficient t-eviewed By: Title: -17- Hello