HomeMy WebLinkAbout6107 NORMANDY CT - Filed P-PERMITS -City of ktColli� Planning, Development & Transportation
Engineering Department 281 North College Avenue
P.O. BOK 580 Fort Collins. CO 80522.0580
970.221.6605 970.221.6378 -fax
fcgav.r:amlengineenng
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way (Minimum 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 encroachmenl(s) and locations of the property line(s),sidewalk(s), and street(s). A licensed surveyor may be required lo accurately locate property boundary(s).2. Applicants for an encroachment permit 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: Daniel Mulder Phone: 970-412-8567 Company: DPM Construction LLC Address: 6107 Melrose Ct
Email: dpmconstructionllc@gmail.Cof'1 city: Fort Collins State: CO Zip: 8052Sub-Contractor:. _______________________ Phone: ________ _ Address: __________________ City:. ________ .State: __ Zip : __ _
LocationofEncroachment(Address): 6107 N ormandy Ct Fort Collins Co 80525Type ofRight-of-way lmpacted: l!!I Street D Alley D Sidewalk D Other: _______ _ Purpose of Encroachment: _D_u_m__,p,__s_t_e_r ________________________ _ Dates of Encroachment: From: ! , 9 1 .:U,):;To:s· , 1 , '-'>JJor Until Revoked (permanent type items)
This permit Is non-transferab le, Is personal to the Applicant and Is non-asslgnable. Applicant agrees that any transfer of ownership of the business holding the permit wlll 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.
APPLICANT SIGNATURE, ¥ "7 :;i?�t /1£DATE, t/if ;i.o,;J. "3)
Encroachme ntPermitType: D Minor D Major �u � c.,O l,I\ �l,()�e;::=. 0 Permit Fees: Application Fee: $. _ __.__.,u:,.,._.___Inspection Fee: $� Total Due: $ Conditions:._-;1}-....t>t�/c....,t _______ '(1-=<:l'----",&-:...,"'------<'8i1,,1....,6'--�'.S.._,,uu,,$=M-'-'l'--!.tt""'e'!l�-.-,.;.A:L.1{...._.'f§l...,._ =·=---l�--.&.:�:uo�=ff#S=---:--J.f Nu, OtX)
CITY OF FORT COLL1NS APPROVAL:,_k_,....-\:,--::---;,:--,,_.a-.,-.,c:...-_ _,,G....,....c:c�___;=;.,._..::,,�c,-� _DATE: _..,.,�"""A"':/�zc3=---�Revised: 10/15/2018 Permit Number: _________ _
____
4/9/2023
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