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Wien.mows or C4fe..41. • G.18ww el w ao*.'.Is 3'K..•S..r.x49.8. '1 _ Ora ......1.I�e. '° 'w 0.enw.'a�.d..ine••r41r.aw =•w..*No w.u.swwrs•rw 4r.. •��' 5�w rv. 884•844.•.. ...w w4 r1 M[4.z8rrslrw...Ix19.CaM.411Vw1e $ ' 9w 11®10E1136E1IrI4x1R ,S now AL NemNY 8Irz » � I f?...:, mna03t s TEx 44810(88 8.4i LYxp..190*_Ni3 salty Wlw.......141w5414i '• < -..• t I 11 1 wm9 + ,'4'i ar r..6w....rer.. .. .r .....w e...wW w...rr.. w `bj 'u.W..xw.ua..4e.. eR. ,3'Sm r..n�5 +1,71!...W.e.......w..w.w..3.r9re maws. ...a t. - Gar m....e . ,77...,,n..... 504 Cr,'597 Fri till f f a 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: �) ' 16 - v J RE# : Other Case#: 303 - 775- 1. Applicant Name Tames R , &ai! M . sSu.f-t-on Phone 303 • lob 5 -ab5q; )b90 Address 55 fi7 Mks J2n Ave. City Erie State (_0 Zip 51O5//p 2. Address or Location of Access 5551- A 5p.e N /kv^e) 6-f'r e Co 80516 Section S Township I Range 6g IA/ Subdivision . Block bl Lot a C ttnchtfte5 Weld County Road#: S Side of Road Distance from nearest intersection 3. Is there an existing access(es)to he property? Yes ✓ No #of Accesses oZ 4. Proposed Use: ❑ Permanent ❑ Residential/Agricultural ❑ Industrial tX Temporary Cl Subdivision ❑ Commercial U Other 5. Site Sketch Legend for Access Description: AG a >7 = AgriculturalL_ RES = Residential O&G = Oil&Gas D.R = Ditch Road = House El = Shed A =Proposed Access • = Existing Access 1a RD NT ci�r.avr- OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions O Installation Authorized ❑ Information Insufficient Reviewed By: Title: -8- File contains oversized Plat Please see Original in File Hello