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A SPECIAL REVIEW PERMIT MAP FOR
A.J. AND DIANE GODDARD
LOT A TOWNSHIP OF RE-2862 1 NORTH.RANGER 67 D IN WESTHE OFETHE 1/2
OF SIIXTHTHE SW PRINCIPAL i4 OF SECTION 33
MERIDIAN, COUNTY 1 I
OF WELD, STATE OF COLORADO O
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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: October 4, 2004
1111 H Street, P.O. Box 758, Greeley, CO 80632
Phone: (970)356-4000, Ext.3750 Fax: (970)304-6497
Applicant Name: A.J. & Diane Goddard Address: P.O. Box 67, Brighton,CO 80601 Phone: 303-655-8405
2. Address or location of access: North of WCR 2 between WCR's 17& 19
3.
Legal: Lot A of RE-2862, located in part of the E2 SW4 of Section 33, T1 N, R67W of the e" P.M., Weld
County, Colorado
Weld County Road#2 Side of Road: North Distance from nearest intersection: Over 1000 feet
Is there an existing access to the property? Yes See plat map for proposed driveway accesses
4. Proposed Use: Existing single-family residence
5. Site Sketch
Legend for Access Description:
AGR= Agricultural • *eft
RES = Residential I
O&G= Oil&Gas
D.R. = Ditch Road t
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OFFICE USE ONLY:
Road ADT (JX's�''NC� flcck `
Date Accidents Date il
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
Installation authorized I I Information Insufficient
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