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DATE:
GPRO N LANDPRO BARKEY'S BOSSIES 2,14,2°°5
PROPOSED SITE LAYOUT SHEET NO
COMPLETE LAND&RESOURCE SOLUTIONS I 1 OF I
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: O
1111 H Street, P.O. Box 758, Greeley, Colorado 80632
r Phone: (970 )356-4000, Ext. 3750 Fax: (970)304-6497
1. Applicant Name 06nn' S wnD E.6N 6AtDIPhoneCgiim ) e c - 9179
Address 3`t c0 3 0 \r- LO IS City W 'f D So 2 State CO Zip 6-'OS.Sch
2. Address or location of access I a,g \ VJLR. e
Section I `1 Township `7 1'J Range G%7 c. ,l
Subdivision Block Lot
Weld County Road # & O Side of Road _L) :) (-_.::i- Distance from nearest intersection c‘l-F cO,rrail
wrtlsS$uvc ft, 5'c�
3. Is there an existing access to the property? Yes X No #of accesses C�
4. Proposed Use:
❑ Permanent Zi Residential/Agricultural 0 Industrial
❑ Temporary 0 Subdivision 0 Commercial 0 Other
*****w«*******************t**t***********tttt**********************♦t****t*********t*********************************
5. Site Sketch
Legend for Access Description:
AG = Agricultural -.1 H
RES = Residential
O&G = Oil&Gas
D.R. = Ditch Road
0 = House •
0 = Shed
A = Proposed Access /✓1
A = Existing Access —
CJ
i J
3 ` e0 11
NCo v..ic_a_ sc::,
7 7 •
*t****t**********tt***************************et********************t***********
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:
6
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