HomeMy WebLinkAbout611 PETERSON ST - Filed P-PERMITS -City of ktColli�
Planning; Development & Transportation
Engineering Department 281 North College Avenue P 0. Box 580 Fort Colins. CO 80522.0580
970.221.6605 970 221.6378 • fax
fcgov.comlengineering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way (Mimmum of 5 business days required for approval)
ENCROACHMENT SUBMITTAL INFO: All submittals MUST include the following with this application: 1.A sketch plan that shows the proposed location{s) of the encroachment(s) and locations of the property line(s),sidewalk(s), and street(s). A licensed surveyor may be required to accurately locate property boundary{s).2.Appltcants for an encroachment pennit that will occupy any parking spaces in the downtown area must notify the Cityof Fort Collins Parking Services Department, at 215 N. Mason Street, (970) 221-6617.
Applicant Name:_E_r_in_L_o_v_e __________________ Phone: 704-651-3926company. n/a Email: erin.love.a@gmail.comAddress: 611 Peterson St City. Fort Collins State: CO Zip: 80524Sub-Contracto r: U-Haul of Huntington Hills Phone: 970-226-3777Address: 6100 S College City· Fort Collins State: CO Zip: 80525
L ocation of Encroachment (Addres s): 611 Pe te rson St. F ort Collins, CO 80524
Type ofRight-of-way Impacted: I!!!! Street DAIiey D Sidewalk D Other:--------Purpose of Encroachment: _M_o_v_in_g_b_o _xl_p_o_d ________________________ _Dates of Encroachment: F rom:_O�Z-'2�5_/2�1 __ _ To: 08 /01 / 2021 or Until Revoked {permanent type items)
This pennit is non-transferable, is personal to the Applicant and is non-assignable. Applicant agrees that any transfer of ownership of the business holding the permit will terminate this permit and require a new application to be filed by the new owner. Applicant has read this permit and agrees to abide by the City of Fort Collins Municipal Codes, Standard Plans and Specifications and to such special conditions, restrictions, and regulations as may be imposed by the Engineering Department.
APPLICANTSIGNATURE: U/IMl k DATE: 04/18/2021---------------------
Encroachment Permit Type: '¢J Minor D MajorPermit Fees: Application Fee: $ \() JJ1 Inspection Fee: $....._I o ........ o.n __ _ Total Due: $ciQ.9,1. Condit ions: ____________________________________ _
c1TY oF FORT coLuNs APPR0�--L1;;,0?--"""'u_1_J.,...v::: ________ 0ATE: Lj-&-L,
Revised: 10/15/2018 r � Permit Number:-----------21-9026