HomeMy WebLinkAbout990652.tiff Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: 1 Z A 5-- B
933 North 11th Avenue,P.O.Box 758, Greeley,CO 80632
Phone: (970)356-4000,Ext. 3750 Fax: (970)352-2868
1. ApplicantNamet-TQCM I Pt n>,v-\ Pam, 1 k Phone Qr1 D `-13'1 S19i S
Address HC-S i you SH City gtmespll State NC Zip tort kLIS
2. Address or location of access 7 U o.: 2 i--�C 2 13 Z
Section al f In- Township 11 Ns Range Sri Lc)
Subdivision Block Lot
Weld County Road # 1 Li 1 Side of Road S c 4 Dr.m Distance from nearest intersection 3 m t I ec
ens?
3. Is there an existing access to the property? Yes X No #of accesses 1
4. Proposed Use:
st Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision a Commercial SI Other GuESr Rt ct. [BEoonn OW CAC FOSr
5. Site Sketch (< 5 nil u t
Legend for Access Description: I H µ
jar
ARG= Agricultural J .4 4�1�. '
RES = Residential A L)cut_ I .�.y
O&G= Oil& Gas U wC2 i'iI
D.R. = Ditch Road F C I H
K 1'
N
7 �I .2 7
5 I
V t.+6 2O
I
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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
Reviewed By: Title:
ii EXHIBIT
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