HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/22/2008 (44)r
City of
Fort Collins
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
velonment & Transportation
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Permit Number: NR q�3�
Approval Date:
Applicant Name: S i, e 1 : A N tit, r" Phone:
Company:
Address: ba5
City, State, zip: R I I N i 8o5a 4_ 3101
Dates of Encroachment: 1 year from. application approval
Location of Encroachment: `f E' v Y
Type: 0 Pay VFree 0 Newsrack
Applicant agrees to submit with this permit application.a sketch, drawing, or plan that
illustrates the location of the proposed newsrack, obstruction(s), or other structure in the
public right-of-way.
This permit is non -transferable, is personal to the Applicant and is non -assignable. Appliant
aggrees 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 current City of Fort Collins Standard .
Specifications and to any such special conditions, restrictions, and regulations that may be im-
posed by the City Engineer. Q
Applicant's Signature: C7`�A� o' V' �'� Date: -aa -0 ( I
Engineering Approval:
Date: � . G�
Application Fee: $__. Total Due: $ M
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Conditions:
Last Revised 7/08
281 North College Avenue , P.O. Box 580 1 Fort Collins, CO 80522-0580 1 970.221:6605 FAX 970.221.6378
wvvw: fcgov.com/engineering