HomeMy WebLinkAbout20000385.tiff Road File#
RE:
Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date:
1111 H Street, P.O.Box 758, Greeley,CO 80632
Phone: (970)356-4000,Ext. 3750 Fax: (970)304-6497
I. Applicant Name CI-IA0.le S GRAvi.3 Phone 7v3 &'r? 'ii 3 l
s
Address 1G/ H RED en44 Lve? N L City at 5 edlooca dam,aStateAlinZip 97It ._
2. Address or location of access 7 3 9/ f-1 iKr _
Section _ Township Range
Subdivision Block W. 10.-0A Lot I d- 7—
Weld County Road # Side of Road Distance from nearest intersection
3. Is there an existing access to the property? Yes No #of accesses
4. Proposed Use:
❑ Permanent ur Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision 0 Commercial 0 Other
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5. Site Sketch pi
CY
Legend for Access Description: _I H t,.
AG= Agricultural i K� r? 4 S�{, 4
RES = Residential — I foal
)&G= Oil &Gas i -1 . I
D.R. = Ditch Road t/ '
O = House // • '"
O = Shed C
Wi J /
v
7 7 4
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OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
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❑ Installation authorized ❑ Information Insufficient
EXHIBIT
Reviewed By: Title:
14
2000-0385
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