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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: yj2oJzoob
RE # : Other Case#:
1. Applicant Name Williae A & Linda. K. Snyder Phone 970-156-7451
Address 7104 W. 12th St. City Greeley State CO Zip 80634-9722
2. Address or Location of Access T.B.D. Weld County Road 77. Roaaen. CO 80652
Section 29 Township 2N Range 621 Subdivision — Block — Lot B
We'd County Road#: 77 Side of Road 1 Distance from nearest intersection .37 mile
3. Is there an existing access(es) to the property? Yes X No #of Accesses 1 O&G
I additional requested 3/30/06 in Amended RE application *
4. Proposed Use:
Li Permanent Li Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other
*t*****le********************************************************************************************************.**************•
5. Site Sketch vN
> .
Legend for Access Description:
AG = Agricultural
RES = Residential WCR 15
'" O&G = Oil&Gas - i
D.R. = Ditch Road I 1
O = House
O = Shed I A * Pending. See above.
NACIL A at G-
A = Proposed Access
A = Existing Access - — — — — — Proposed ai saps.
I I
Ni I a
7 7
***************************************
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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