HomeMy WebLinkAboutN R ADD - APPLICATIONS - 8/18/2008 (7)Fort Collins
Planning, Devel
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
& Transportation
eering Department
E10 0 00 4-7 ??N&3
Permit Number: NR GIq U
Approval Date:
Applicant Name: S)-le k A 3 6J O2 (_ Phone: q T) — 4a 3- rR 5 60
Company:
Address:
City, State, Zip:
Dates of Encroachment: 1 year from application approval
Location of Encroachment:
Type: ❑ Pay $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 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: 0- 81tnv --tkv Date: 'oZa-O R
Engineering Appr al: Date:
Application Fee: $ Total Due: $_
Conditions: -c—S Z7�,' a�
Last Revised 7/08
281 North College Avenue , P.O. Box 580 . Fort Collins, CO 80522-05801970.221.6605 i FAX 970.221.6378
www.fcgov.com/engineering