HomeMy WebLinkAbout992143.tiff Road File a
RE:
Other Case No.
APPENDIX B
WELD C.OUN.I_Y RO:\I) ACCESS INFORMATION SHEET
Weld Count-Public Works Department Date: : ! .
933 North 11th Avenue. P.O. Box 753. Greeley. CO 80632
Phone: (970)356-4000.Ext. 3'50 Fax: (970) 352-2868
I. Applicant Name f t,,i i, 'i s' L o , :.c l r ( ' h c. , ,i-. Phone i ,y - . . ,
Address i' . ,'• , •I:'_: Cit'. . , i t k • State . , Zip ,
2. Address or location of access ,i i'. ; , .=-) '' i .
Section I'.: Township • . N Ranee .1 ,:
Subdivision I' I : . iA,z :. .!. L1 Block I Lot ;,.
Weld County Road =" .). 'i Side of Road . Distance from nearest intersection
3. Is there an existing access to the property? Yes No = of accesses ,,.
4. Proposed Use:
O Permanent J Residential/Aericultural O Industrial
O Temporary O Subdivision O Commercial 2 Other ' 1 • , t i ,
.**.*********..*..*****.tsar..*...*.*******************.***■.*****a,u***.w**.*.s...,1**.*r.********
5. Site Sketch
.C-
Legend for Access Description: �...
' .
�RG.= Arericultural ' a.
RES = Residential 1,,
O&G= Oil& Gas •
D.R. = Ditch Road
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*.************.**.****************************.t**************.********■*******.******.****************.***
OFFICE USE ONLY:
Road ADT Date Accidents - Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
D Installation authorized O Information Insufficient
Reviewed By: Title: _
6 9 EMIIIMIIMEII
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