HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/25/2008 (2)City Of
'Rort Collins
111"
'PlAnii
Revocable Permit for
Newspaper in the Right-of-way
(minimum of 7 days required for approval)
& Transportation
Permit Number: NR
Approval Date:
Applicant Name: cwr, a S �- `� Phone:
Company: W — -,2h
Address: %A'>c.
City, State, Zip: Y1✓ems C Le)_ 0`-'2y
Dates of Encroachment: 1 yearrfrom,application approval
Location ofEncroachment. UVZ S Co" 01 zo
Type: o ,Pay O Free I' Newsrack Q h ✓ e/ AJ T
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.
Thisl permit 'is rnon-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 FortCollins Standard
Specifications rand to any such special conditions; restrictions, and regulations that maybe im-
posed :by the -City Engineer
Applicant.s.Signature: Date: /' 2-
Engineering Approval Date: 1�6. 01Z_�
Application Fee $ Total',Due: $
Conditions:
Last ,Revised. 7/08
281 North, College Avenue , P.O. Box 580 , Fort Collins; CO 80522-05801970.221..6605 1 FAX 9702211.6378
www:fcgwcom/engineering