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ApoI , • - a x`�la a • .l e SS .. , kii6}{(.014Le 85 1 -.4-3552)0 } • S.e.R © S MA N 795' 3 /744/ rT• LOATo ) CO SO Z4 / Sr=c-norJ 3o iov & Stt,P 2, N /giJGE 64W .ANtSCA Pe_ �� R � �=5.0 ' E wr ',Y — _.5. sr,Qr 35.5.00 II • II II 1 �I C a I- w • f ( I J * .o °T will** I • a w6 n�AlcorJ�ED I PateliP, � t C it : QoaC is -4:� � ty l � • M2.• WEB^ N 4 y c) Air PAWN CV p j}71 Y dS a vn-ep.S • A�71 � X' © p air u. j i - �. M Ur�k .C�aoN D - •NwoaD � APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: y " 17- Oz 1 111 H Street,P.O.Box 758, Greeley,CO 80632 Phone: (970)356-4000,Ext.t.p 3750 Fax: (970)304-6497 F 1. Applicant Name O SC Iv/4/\.) 1 Phone 363 2-s-1 (002-6 Address 7553 HCI)y' Sa City . L--L'f PTON State Co Zip SOt.2./ 2. Address or location of access 11 2 43.3 n W`i 5 1'r r. 1 up t-1)NI a Section 0 Township n( Range 1,G, tv t J _ , t Subdivision N O tJ 2 Block N() N E-' Lot /V 0 Al C_ Weld County Road # S If $5 Side of Road IA)is ST Distance from nearest intersection 1/0"0,", 3. Is there an existing access to the property? Yes t' No #of accesses / 4. Proposed Use: Permanent 0 Residential/Agricultural 0 Industrial 0 Temporary 0 Subdivision O Commercial 0 Other 5. Site Sketch t.9( Legend for Access Description: A. Agricultural \N C I'. i 4 i 4 S = Residential 1;., • & = Oil&Gas Acc.�;; D.R. = Ditch Road /n4/-7`— 111 z r OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions 0 Installation authorized O Information Insufficient Reviewed By: Title: 8 Hello