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APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: 1-28-04
1111 H Street,P.O. Box 758, Greeley,CO 80632
Phone: (970)356-4000, Ext. 3750 Fax: (970)304-6497
1. Applicant Name: Front Range Dairy Phone: 303-857-9323
Address: 9743 WCR 16 City: Ft.Lupton State CO Zip 80621
2. Address or location of access: 9743 WCR 16,Ft. Lupton,CO 80621
Section 27 Township 2 N Range 67 _W of the 6th P.M.,Weld County,Colorado
WCR 16 Side of Road North Distance from nearest intersection 1/2 mi
3. Is there an existing access to the property? Yes X No #of accesses (1)
4. Proposed Use:
U Permanent U Residential/Agricultural ❑ Industrial ❑ Temporary
U Commercial ❑ Other
5. Site Sketch _1
0cp
ve
lieGglears
EA.test%114 Act-ess
JJ.
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G= Oil&Gas py/ i5
D.R. = Ditch Road 1, ' c€y.ltb l (sl j.ct.ss5
OFFICE USE ONLY: Weil-- l -I "'
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special
❑ Installation authorized ❑ Information Insufficient
Reviewed By: Title:
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