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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:
RE # : f Other Case #:
1. Applicant Name Ar-l-15tt C r ire LLC Phone 383 -•i-za-0806
Address G f 't 8 iris Wail City tV it da. State Co Zip_'3ao_Qy-
2. Address or Location of Access It 6 3 O 14)C R. B 7 R o U c{e 8Q65 L
Section 08 Township O f Range C) (A) Subdivision J n Co
V Block Lot
Weld County Road #: O 7- Side of Road E OI_c4- Distance from nearest intersection
3. Is there an existing access(es)to the property? Yes X No #of Accesses ONE
4. Proposed Use:
❑ Permanent ❑ Residential/Agricultural U Industrial + II , )
U Temporary U Subdivision U Commercial a Other POrl�.6 tE J'Ca(Lur
5. Site SketchCO CD
Legend for Access Description:
Li li
AG = Agricultural 3I O -3 I S 4,4-c„ FL3
RES = Residential ^�-t r
O8G = Oil&Gas b 7-
D.R. = Ditch Road
O = House 6
o = Shed
O
A = Proposed Access h 1 ��
• = Existing Access
0
Nr iN.
7 I
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
❑ Installation Authorized U Information Insufficient
Reviewed By: Title:
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