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Road File#
RE:
Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
'veld County Public Works Department Date: 2/27/01
1111 H Street,P.O.Box 758, Greeley,CO 80632
Phone: (970)356-4000,Ext. 3750 Fax: (970)304-6497
1. Applicant Name Liz Blasio Phone 970-686-6782
Address 1399 Waterwood Dr. City Windsor State CO zip 80550
2. Address or location of access 28464 Highway 257, Greeley, CO 80634
Section 11 Township 5 N Range 67 West
Subdivision n/a Block Lot
Weld County Road #hwy 257 and Side of Road Distance from nearest intersection 1/4 mile
US 34
3. Is there an existing access to the property? Yes x No #of accesses 1
4. Proposed Use:
El Permanent O Residential/Agricultural ❑ Industrial
❑ Temporary O Subdivision tic Commercial O Other
■**************************t*****t****i*t************k***k****kit************iitt*******it**********t******
5. Site Sketch
Legend for Access Description:
i_9„
AG= Agricultural ___I L__ . _g w
RES = Residential C
,„..0&G= Oil&Gas '
Z. = Ditch Road
= House AG
O = Shed tAV3.1
1 shed
1-y1 • i:=3
res.
CT shed CI
7 ,,,, ,,,,
**.*********************************
***********i******i******►*********************************************
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date . Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
*******************►****************************************►********************k************************
❑ Installation authorized O Information Insufficient
Reviewed By: Title:
EXHIBIT m:wpfiles\engineer 1access
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