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Other Case No.
APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: 3/2/98
933 North I lih Avenue,P.O.Box 758, Greeley,CO 80632
Phone: (970)356-4000,Ext.3750 Fax: (970)352-2868
1. Applicant Name Dana R. and DeeAnn Patten Phone 970-737-2671
Address 20476 WCR 29 City Platteville State CO Zip 80651
2. Address or location of access 20476 WCR 29, Platteville, CO 80651
Section 21 Township 4 Range 66
Subdivision Block Lot
Weld County Road # 29 Side of Road East Distance from nearest intersection 1/2 mile
3. Is there an existing access to the property? Yes x No #of accesses 2
4. Proposed Use:
® Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ® Commercial ❑ Other
***********************************************************************************************************
5. Site Sketch
Legend for Access Description:
ARG= Agricultural J A
RES = Residential :J;i ;.
O&G= Oil&Gas
D.R. = Ditch Road
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OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
***********************************************************************************************************
❑ Installation authorized ❑ Information Insufficient
Reviewed By: Title:
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