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WELD COUNTY ROAD ACCESS INFORMATiuN 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: 6 - 12 -05
RE#: Other Case#:
1. Applicant Name DfA1 CenioU'aq us_ (act.Mcwhik'e,i\ Phone 3) 973-/Z SS
Address go. l3 Z1 l oY7 ✓ City I- ; 4J -- State Co Zip go/t 7
2. Address or Location of Access
Section 7O Township 2- a Range G 8 `^/ Subdivision Block 2 Lots X15.6,7
Weld County Road#: Side of Road Distance from nearest intersection
3. Is there an existing access to the property? Yes No ✓ #of Accesses —
4. Propos Use:
or Permanent ❑ Residential/Agricultural/ Er Industrial
❑ Temporary ❑ Subdivision Mr Commercial ❑ Other
******, ******** ****************** *** ******r***tHe wn.,rw************** **** *******
5. Site Sketch
HIGHWAY It 9
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil&Gas 5 Geco- c woe
D.R. = Ditch Road
D = House
O = Shed N for co
iff
r .r
D =Proposed Access
• =Existing Access d
IT.. Lea- loT
NT -76
srgeccnacn Lea
Rt 5 =
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
❑ Installation Authorized O Information Insufficient
Reviewed By: Title:
-6-
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