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.11
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 (Esus l:. 4 I &aja Ga.w.t Phone (9xol Vin..-itt'tb
Address Vie Loc.agTOPA cooir City Fr. COL.L.Lms. State CO Zipeoczic
2. Address or location of access Lcr A eF t.-E. r1LS
Section 1 Township IN Range Wry►
Subdivision alA Block WA Lot µ/A
Weld County Road# 6 Side of Road wesr N S E or W
Distance from &number of intersecting mad ttto' s soon' of vt.a.g-.IS a W.c..R., yI ote ecaIDJ
3. Is there an existing access to the property? Yes A. No #of accesses t
4. Site Sketch: _-rt otcou
srrr / A
r___J £ I I
t+ Il
F
Ml.G.`. IS is
tF
no a J ..csi iaxatIoa
FrICISi'lIJ(� '[LSaS l.Or.A77ru
5. Proposed use:
K Permanent p( Residential/Agricultural _ 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
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