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C 0100.01001040.00000p -: �,:. ..911 ner LAN►, ,.na.UAL., RA.lbel•wor nyasa0000i �s fine , Ill 524000019 --, 3e.c.t UK • 'Areal) Dcu.A.lr,AtV.d 1111136000010 111).2440W...4 L f ,,,... w"r..:ais.... r tr . rw,�irrw o� fe i.+rrwrlw�rw/.arG w.....r+itraLt il.wa . \IP .00...++00:�// f w...n >vr �s:: a►.e.6.tat.'t . • ft G F.0000,0t'rt pl.E pi„gilt ''r00 0ns5t xlill ' .5 Salt:1-.Itd-tf Mk > rw.w.a 14•60 . • 3C r Cw1y APPENDLX B WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department 1111 H Street, P.O.Box 758, Greeley, CO 80632 Date: Cl Ilo O3 Phone: (970)356-4000, Ext.t.3750 Fax; (970)304-6497 1. Applicant Name An ela Conner Address 23O9O Wea ,3p Phone CStte6o zip F3n6,,, City Hudson State C`O Gip F (o<f2 2. Address or location of access g3olo in/Ck 3O Section 2 5 Township 3 Subdivision Range5 Block Lot Side County Road # of Road Distance from nearest intersection 3. Is there an existing access to the property? Yes ✓ No_ #of accesses 4. Proposed Use: ❑ Permanent CleResidential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial 0 Other 5. Site Sketch w \P w I If Legend for Access Description: I �� AG = Agticuhural `Lim S = Residential wcz 30 . , , G= Oil &Gas t J,; �. D.R. = Ditch Road • if AS' Res n N As A • a Ii • OFFICE USE ONLY: • Road ADT • Road ADT • Date Accidents Date i Date Accidents Date Drainage Requirement Culvert Size Length i Special Conditions • • ❑ Installation authorized 0 Information Insufficient Is :wed By: . Title: i 8 Hello