HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/22/2008 (10)CR of
fort Collins
evelopment & Trans
Engineering D
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
151000051 e1410
Permit Number: NR000439
Approval Date:
Applicant Name: 3)'1 e I ; A 36jAh(' Phone: q T) , 4 q (5- a 5 ADO
Company: _C�I�1P�u�cr,� ����(i✓,o
Address: aJaS
City, State, Zip:
Dates of Encroachment: 1 year from. application approval
Location of Encroachment: tas
Type: ❑ Pay VFree ❑ Newsrack
i
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 fled 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.
Applicant's Signature: CJ"a- Date: ci 0 C9
Engineering App oval: r y_ Date:
Application Fee: $� Total Due: $
Conditions:
Last Revised 7/08
281 North College Avenue , P.O. Box 580 Fort Collins, CO 80522-0580 970.221:6605 FAX 970.221.6378
www.fcgov.com/engineering