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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# : Other Case#:
1. Applicant Name Crw.tL 5 ANt1 FRED -3 L.Ey Phone cent) - 44\3
Address .1395E UUCP, S1 City KERSEk State Co Zip ?O43yy
2. Address or Location of Access 939 3 \ wet. 51 t'ORZ'NEA5"f ONE • QuR2rEIL
Section (D Township y N Range tort W Subdivision NI A Block N) A Lot A
Weld County Road #: 5 \ Side of Road W E`ST Distance from nearest intersection OZ CD FEET
3. Is there an existing access(es)to the property? Yes X No # of Accesses I
4. Proposed Use:
21. Permanent 27- Residential/Agricultural U Industrial
❑ Temporary ❑ Subdivision U Commercial ❑ Other
•awaw*•** ***********************:*»R*******************************************t******************************************
5. Site Sketch
Legend for Access Description:
(AG = A ricultur
L_
RES = Residential
O&G = Oil&Gas t •
D.R. = Ditch Road Q
= House
O = Shed A
A = Proposed Access
= Existing Access
NT 3
*************************..***,...******
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-
) ) )
PROPERTY IMPROVEMENT SURVEY
THE NORTHEAST 1/4 OF SECTION 6,TOWNSHIP 4 NORTH,
RANGE 64 WEST,OF THE 6TH PRINCIPAL MERIDIAN
WELD COUNTY,COLORADO LEGAL DESCRIPTION
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