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S\e'''''''.:1‘... 4 1,....re.., . o ° a Ilk ,.... . . lily 1%2000' N / / It lti APIP E'I �`E !MC ��, T v �11 j., p°eldlilldl p' K • �,\Y+r 1Mt 1 I• MAP A P .�irl1IV�, ''ll• .IIDII Grand Stria-et Suite 41© 'Road File# al ( 074 "-' A. ) RE: Other Case No.4&1 l 4 R 9 Z 1 APPENDIX B WELD COUNTY ROAD ACCESS O-FORMATION SHEET Weld County Public Works Department Date: 1-- {�'1- 00 1111 H Street,P.O.Box 758, Greeley,CO 80632 Phone: (970)356-4000,Ext. 3750 Fax: (970)304-6497 t -p,_,,,,,, j Phone 9-10 35(+ - 4.000 4,. 3!5:t7 1. Applicant Name JEtx� Co u�=-1, W a ra.4 S Address- P.O. eca.s 15 e City(-' .g•'`` State C.J Zip & 54 2. Address or location of access Range Section '� i Township g Subdivision B lock Lot. Weld County Road# 27 Side of Road Weir Distance from nearest intersection egPOI - d. 3. . is there an existing access to the property? Yes X No #of accesses 4. Proposed Use: O Permanent O Residential/Agricultural O Industrial Temporary �AU£� s'r- ❑ Subdivision O Commercial j Other 5. Site Sketch It Legend for Access Description: . - AGR = Agricultural _ l'T-75 5 = Residential o" tr.t•. )O= Oil.& Gas D.R. = Ditch Road O = House tif — O = Shed or Outbuilding —..— - •• 4 • 7 M 1n . 3 - Ni v a i el 3 tx..c. I „ ‘,.../co rot iii OFFICE USE ONLY: 6 a 8 Date 4 a�--'4Accidents Date Road_ 27 ADT Date Road"°"or/1 ADT I I l 3 Date .I a cp Accidents • Culvert YE') Size Length Drainage Requirement Special Conditions ************************** ,******************************************************************************** 0 ' Installation authorized ❑ Information Insufficient '7- y-epo Title: Reviewed By:_ m:wpfiles\enginers\access 2000-2274 Hello