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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# : Rut-11
Other Case #:
1. Applicant N me R,1 to E. 13 t_Lr—c4 Phone 977 Say - I f 7-?
Address ..31/ _6 D Ba,ulrc/Qr/71/ N City E.4-;&)"./ State(! ) Zip„'ic:26
2. Address or Location of Acce s ,`2 ,Yt= (es Al err (02i,e- t./
Section /g TownshipCa4t. J Range Subdivision lyVyLe)Block
Weld County Road #: . 7 Side of Road Distance from nearest intersection N/ .O t
3. Is there an existing access(es)to the property? Yes ✓ No #of Accesses
4. Proposed Use:
0 Permanent "iL. Residential/Agricultural ❑ Industrial
O Temporary ❑ Subdivision O Commercial t] Other
5. Site Sketch
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil& Gas
D.R. = Ditch Road
= House
rJ = Shed ?Pit,
= Proposed Access
A = Existing Access t
NT •
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:
-8-
° �� I�■m��a��e�,■ TOWNS!
) OF CAMFIELD
0, t - 1010..r 1610..
IN LOCATED N THE EI/Z OF SEI, ui,T7N,R64W, 6th PM., WELD COUNTY, COLORADO'
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