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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# : Other Case#:
1. Applicant Name 2'L TO Y pi-ion/el-01P -3
Address 2222 rI• (CO-E-CIE..- Mt . City f c-. State G(7 Zip So5Z-4
2. Address or Location of Access A- '9 pt OF of
Section 3Z Township S Range (2(o Subdivision Block Lot
Weld County Road#: Side of Road 14 Distance from nearest intersection J4 Ml.
3. Is there an existing access to the property? Yes No #of Accesses
4. Proposed Use:
❑ Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary Subdivision ❑ Commercial ❑ Other
5. Site Sketch
Legend for Access Description:
AG = Agricultural
I
Lli
�' RES = Residential
O&G = Oil & Gas
D.R. = Ditch Road
O = House
O = Shed
= Proposed Access
A = Existing Access
N r /p) sf
cot4 ea s
OFFICE USE ONLY:
Road ADT
Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
pecial Conditions
❑ Installation Authorized 0 Information Insufficient
Reviewed By: Title:
-7-
File contains oversized
maps
- Final Plat (3 sheets)
- Landscape Map (1 sheet)
- Recorded Copy of Change of Zone Plat
(2 sheets)
Please see originals in File
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