HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/22/2008 (22)Planning, Develo
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
t & Transport,
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Permit Number: :NR 101 041
Approval Date:
Applicant Name: 31) a I ; A OK, o tiQr Phone: q �0 42' a 5 ADD
Company:
Address:a
City, State, Zip: 1OR-j- N �y �0 805a4 - 310�
Dates of Encroachment: 1 year from. application approval
Location of Encroachment:
Type: ❑ Pay b/Free ❑ 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 nontransferable, 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. QQ
Applicant's Signature: C �t a- „ �" Date: C�
Engineering Approva � � �—J Date:
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Application Fee: $ /D a� Total Due: $
Conditions: �> n de)
Last Revised 7/08
281 North College Avenue , P.O. Box 580 , Fort Collins, CO 80522-0580 970.221.6605 , FAX 970.2211.06td
www.fcgov.com/engineering