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APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: April 29 , 1999
933 North 11th Avenue, P.O. Box 758, Greeley, CO 80632
Phone: (970)356-4000,Ext. 3'750 Fax: (970)352-2868
I. Applicant Name John 0. Eichman Phone (970) 495-0700 -
Address 4705 Springer Drive City Ft. Collins State CO_Zip 80524 -
2 Address or location of access 15412 Colorado Hwy. 14 _
Section 15 — Township 7N Range 66W
Subdivision Block _Lot _
Weld County Road # Colo. 14 Side of Road North Distance from nearest intersection_1550 feet. _
3. Is there an existing access to the property? Yes X No # of accesses 2 (one to be abandoned)
4. Proposed Use:
Permanent D Residential Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other
********************************.**art********************************.******************.******************
5. Site Sketch
Legend for Access Description: HMICari
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ARG = Agricultural T�l�* '
RES = Residential * W
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O&G = oil& Gas
D.R. = Ditch Road
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ARG
*************************.***********
*************************.**********************************************
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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