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Road File#
RE:
Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET 7
Weld County Public Works Department Date: 1— /-00
1111 H Street,P.O.Box 758, Greeley, CO 80632
Phone: (970)356-4000,Ext. 3750 Fax: (970)('304--6497 /
1. Applicant Name c1R.AN0R. GR,1 S(lkhl� Phone 17D- 331 - g1a0
Address 3 .90 '1711 A c,,,,a / 'City (,rte-6,1 State CO Zip Z0(03y
2. Address or location of access 3D90 974-1\ 44emv2 1 6(co.L, Co 1O Lt
Section a3 Township 5 Range (nip
Subdivision Block Lot
Weld County Road # Side of Road Distance from nearest intersection
3. Is there an existing access to the property? Yes 1/ No #of accesses
4. Proposed Use:
❑ Permanent ❑ Residential/Agricultural O Industrial
O Temporary O Subdivision Commercial ❑ Other
****»»«:«**********************************************************err************************************
5. Site Sketch
Legend for Access Description:
AG= Agricultural _J ,4E
RES = Residential S Wilk
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O&G= Oil&Gas l _. COLORADO
L.R. = Ditch Road (9�'7�,oi n�
O = House (� \nu:*
O = Shed
'11.1`-
,fr..; a_ioV)
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OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date ' Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
❑ Installation authorized O Information Insufficient
EXHIBIT
Reviewed By: Title: _ ZI
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