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Home My WebLink About20030494.tiff Iii - 4' 4ski t xwra a P° l h} tpa e I t t � _ $4 L u - FWD I.q x• ...,may 8 ' -1 1 (+i' wr 7 - ' Y z�xr :� foci 7 , w - '• a .44 AI sir, " 0 , ,_ r w.: rn^j �� ti )I{ ?! " — w. ‘ je � ,. e'� - 'Ice , 1. ' rv' "₹t k 1 fish+ , ! ✓ rp ,,-,.,,„„..„s14,,,,..fit, y�h' S � `it `ter' fas e;w�i1Kf y .- Y N._ 4, alialllaitit 7p w� ' , x �� tea, ' " � ! x x it 1Ii I. �1 a i� ,'�� r 4. U E + III,:44r �. ..p,. ,. -1 it i F F"Yr ill 2003-0494 • APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: �1E P 9 200 L 1111 H Street,P.O.Box 758, Greeley,CO 80632 Phone: (970)356-4000,Ext. 3750 Fax: (970)304-6497 1. Applicant Name Ck1 RUST COYDYMNIIT.I CH0RQN Phone 3©3 - Scl S -65(O Address --)No t pawl' 5i City RO GG P.M State CO Zip Rol 52- 2. Address or location of access LOT f\ of RECORnEn E XEmPTIOH ti 3ZZk, Section (D Township 2- Yl Range (o2. U.) A Subdivision t/ C Block - Lot Weld County Road /4 7 Side of Road Distance from nearest intersection • q )n 1LEC\ 3. Is there an existing access to the property? Yes No ✓ #of accesses a P Re POSED 4. Proposed Use: ❑ Permanent ❑ Residential/Agricultural ❑ Industrial CHURCH Temporary ❑ Subdivision ❑ Commercial ❑ Other 5. Site Sketch J i I ___ Legend for Access Description: }b r wCR AG = Agricultural p 2i1 5 RES = Residential 1 • O&G= Oil&Gas `O� D.R. = Ditch Road — A 1— = OF R.E. # 3Z2Jv Z fjXCES5ES PROPDS..D Eh in .................................. OFFICE USE ONLY: 0.)Road ADT Date U Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions ❑ Installation authorized ❑ Information Insufficient Reviewed By: Title: 8 ) ) ) lima, . 50 lei- u+ilill Ease men+ Dete N+ioh Pend / _1 O (�'A1aVar Wall ) New IBedM�.. re—? mu,t+i Purpose si .c tv:t Ili h9 a ate .�T C- C�4 'vat . . 4- F E - \ I N ik ) II� I I ICI s9r\ ,i, T _ .. ...... . stop = .4T s.5,.---\ / ` 1 \ -- - - - - - wcR�73- - - - - - - - Hello