HomeMy WebLinkAboutN R ADD - APPLICATIONS - 8/18/2008 (17)Fort Collins
Plann
Revocable Permit for
Newspaper in the Right -of -Way
(minimum of 7 days required for approval)
1.3
Permit Number: NR B�
Approval Date:
Applicant Name: S i) e 1; A Phone: R 90 — 4113- a 5 60
Company:
Address:
City, State, zip: y-t_?R.-f" f I M , �0 8o!5oay 31of
Dates of Encroachment: 1 year from. application approval
Location of Encroachment: n ri ( a re
Type: ❑ Pay VFree ❑ 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: C7`� �� w„'� Date: `a�
Engineering Approval:
Application Fee: $ .
Conditions:
Due: $_
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Last Revised 7/08
281 North College Avenue , P.O. Box 580 1 Fort Collins, CO 80522-0580 970.221:6605 , FAX 970.221.6378
www.fcgov.com/engineering