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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department
933 North 11th Avenue, P.O. Box 758, Greeley, Colorado
Phone: (970) 356-4000, Ext. 3750
1. Applicant Name 144-7-0 Niel 4, ASS OC4F 1 -s AfGC.F111- ( 3 Phone(Ck1°) Cv(o3-0548
Address343 e- 44.k Sr City L-6V L b7 State CO Zip 80537
2.8O O 2. Address or location of access ANo145 3 W�#19,NPL IN Ted
coFpoCa4fc1 Hwy6(o,
Section 21 Township '3 Nonni, Range (in v c7 o"F THE Cot Pw.
Subdivision N [ A Block Lot
Weld County Road* 1 9 Side of Road w&C T' N S E or W ,
Distance from& number of intersecting road . -BOO FT 7 +6 1:441 b to
3. Is there an existing access to the property? Yes V No #of accesses 2--
4. Site Sketch: •
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Wc2 #t9_ 11mu,„„..
LOTH-71 vl
Lon t3
5. Proposed use: /
Permanent _ ResidentiaVAgricultural _ Industrial
Temporary _ Commercial X Subdivision _ Other
OFFICE USE ONLY
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement: Culvert Size Length
Other Comments:
Installation authorized _ Information Insufficient
Special Conditions
Reviewed by: Title:
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