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11822 WELD COUNTY ROAD 49 2000-0549
•
Road File#
RE:
Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: 1 2 I D
1111 H Street,P.O. Box 758, Greeley, CO 80632
Phone: (970)356-4000,Ext. 3750 Fax: (970) `304-6497 ,
I. Applicant re �' U'� H Fl(� Phone �G3 Z� z f J 3� tT
II
Address g tZ L r 1.j5OOO 1 N •- City (it h5o Ai State Li Zip ya
2. Address or Location of access k D 2i2 W G L t7 COLA N
Section If Township '7, Range log
Subdivision Block Lot
Weld County Road # _ Side of Road "z Distance from nearest intersection N/C IZ. 7-7—
.
3. Is there an existing access to the property? Yes '✓ No #of accesses 2-
4. Proposed Use:
❑ Permanent ,k Residential/Agricultural O Industrial
❑ Temporary O Subdivision O Commercial O Other
5. Site Sketch
cY
Legend for Access Description:
i
AG= Agricultural , 1g�„
RES = Residential `yEI,T) (oil 'T o D "Z EDC
4cG= Oil&Gas
.R. = Ditch Road
= House
O = Shed
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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 ❑ Information Insufficient
Reviewed By: Title: EXIMUT
m:wp
115
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