HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/22/2008 (11)�ort Collins
Planning, Development & Transportation
Engineering Department
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
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Permit Number: NR _03_1
Approval Date:
Applicant Name: Si-) e 1 ; A 36i Nt r Phone: q 90 — 4q j— a 5 6Q
Company:
Address: Ja-`j (f
City, State, Zip: 101
Dates of Encroachment: 1 year from. application approval
Location of Encroachment:
Type: 0 Pay 1/Free 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.
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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.
Applicant's Signature: a,ULM
� Date: �1 'ova' (S
Engineering Appr al: Date:
Application Fee: $� Total Due: $ % 0
Conditions:
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Last Revised 7/08
281 North College Avenue i P.O. Box 580 , Fort Collins, CO 80522-0580 1970.221.6605 1 FAX 970.221.6378
www.fcgov.com/engineering