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HomeMy WebLinkAboutN R ADD - APPLICATIONS - 8/18/2008 (14)� t Fort Collins Plann Revocable Permit for Newspaper in the Right -of -Way (minimum of 7 days required for approval) & Tra C/o 1 0 053 © elver - 22 Permit Number: _AR ! Wv(f Approval Date: Applicant Name: 5)) e,i ; /a ;_lam 2Ir Phone: '7 �0 — 4Q 3— oa 5 60 Company: U Address: City, State, zip: W I', N i, d0 805a - 31U1 Dates of Encroachment: 1 year from.aoolication aooroval Location of Encroachment: Type: 0 Pay u rvewsracrc 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... �j t� Applicant's Signature: 0- 81i nw-rn. Date: 'ova -O C� Engineering Approv I: Application Fee: $ Conditions: " VL, Date: Total Due: $ / (� Last Revised 7/08 281 North College Avenue P.O. Box 580 , Fort Collins, CO 80522-0580 1 970.221:6605 , FAX 970.221.6378 www.fcgov.com/engineering