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991410
Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: ca,. 11 lgpA
933 North 11th Avenue.P.O.Box 758, Greeley, CO 80632
Phone: (970)356-4000,Ext.3750 Fax: (970) 352-2868
1. Applicant Name to-A- o. -4 Q.A Ft a 6.+Ror Phone (moo i) to lnlp - 934,S5
Address '1'L1a0 WW2.. ► City La,.-cro' r State Q Zip %oSoi-1
2. Address or location of access 1 l00 VICE, 1 (1/2tl, HboNita)
Section 1.0 Township Z 61o.-1a, Range VA
Subdivision N/A Block 14/A Lot to/A
Weld County Road # 1 t lets Side of Road E- t Z Distance from nearest intersection Zoo` (1„.4,A.,)
3. Is there an existing access to the property? Yes X No #of accesses olo
4. Proposed Use:
a Permanent Xl Residential/Agricultural 0 Industrial CO')
0 Temporary 0 Subdivision Q Commercial XOther \.)5V.. ( (o••ti�+�t�t o,.
***********************************************************************************************************
5. Site Sketch
Legend for Access Description: t
gr
ARG= Agricultural Le , _
RES = Residential
D&G= Oil& Gas Paw* -Coe la.itii e.44 •
D.R. = Ditch Road j dick- PhAt
• µtOQ lbt t
RES Onyx
YTE.
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
Q Installation authorized ❑ Information Insufficient
Reviewed By: Tide:
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