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APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
6-23-02
Weld County Public Works Department Date:
1111 I-I Street,P.O. Box 758, Greeley, CO 80632
Phone: (970 )356-4000, Ext. 3750 Fax: (970)304-6497
1. Applicant Name LUISA G RAMOS &EILEEN SCARZELLO Phone 9711-357-771A
Address 33140 cr 33 City GREELEY State En Zip A0fi31
2. Address or lorntinn of access 3311+0 cr 33 GREELEY CO 80631
Section 14 Township 6 Range 14
Subdivision Block Lot
Weld County Road # 33 Side of Road east Distance from nearest intersection 75f1
3. Is there an existing access to the property? Yes XX No # of accesses 2
4. Proposed Use:
❑ Permanent ❑ ResidentialiAgricultural U Industrial
❑ Temporary ❑ Subdivision r, Commercial ❑ Other
S. Site Sketch
Legend for Access Description: Io_`.
i
AG = Agricultural I �
RES = Residential QeSIbew.4iA4 t" st,.Yt '
..)&G = Oil &Gas
Lo
t4,..
= Ditch Road ?, nut —1
L,r.P„
Res,beu4.ac
4cce5s -,
V.
V. 3'
**********************************
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:
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