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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Road File t
RE#: Date: 3-4-03
Other Case it 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
1. Applicant Name aArrA Lea',Wei/, /LC.
Address 224` 2 V27" !/✓t• Phone Stat$crie
Go -Zp R
City LoA/4/no&r State Co Zp Pos
2. Address or Location of Access 7 Wc4C 59 .Je/M/yr 0?['o RoS'34
a
Section Township r AJ Range 741 Subdivision Block Lot
Weld County Road#: 6q Side of Road W15 Distance from nearest intersection
942 ' froPRg1(,
3. Is there an existing access(es)to the property? . Yes V No
#of Accesses 2.
4. Proposed Use:
0 Permanent U Residenual/Agrlcupural ❑ Industrial
❑ Temporary 0 Subdivision 9 Commercial 0 Other
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en ttttNt Mt ltNtttlM tilttttttt Mttt Mt 5. Site Sketch - (deg_ IC
'
& Q- la.
Legend for Access Description: ,4•
AG = Agricultural I
L______ . .
REl LJC�.
= Residential
OSG = Oil d Gas ---)
O.R. = Ditch Road a sirml ,
O = House agriA1 /- RCS,
o = Shed 4 ROM
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NT yiJ 2ftitleon
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OFFICE USE ONLY:
Road
Road AD Date Accidents Date
Drainage Requirement Date Accidents
Special Conditions Culvert Size Length
❑ Installation Authorized ❑ Information Insufficient
Reviewed By
Title:
-19-
File contains
oversized
Vicinity Map and
Plat Map
Please see original
file
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