HomeMy WebLinkAboutN R ADD - APPLICATIONS - 7/25/2008 (3)City of
Ort CORIns
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Development& Transpoi
Engineering 'Depa
Revoca b1'e 'Perris it for
Newspaper in the Right -of -Way
(minimum of 7 days, required: for approval)
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Permit'Number: tE o oo0 7
Approval Date:
Applicant'Name
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Phone: _' 2' �.�
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Company: t0e'hJ
p_- n t
Address:
City, State, Zip: 4pey?o eny 2 d
Dates of Encroachment: 1 year 'from application approval r n
Location of Encroachment: 3 J 4) , Zav✓ e j ` 6Lh.:�5 9'O--_2
Type: O Pay O Free NewsrackQ
Applicant agrees. to submit with this ,permit application a itetch, 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 Applicantand its non -assignable. Appliant
aggrees that any,transfer of ownership Lof°the business holding the:permif will'terminate this permit
and require a new application to be filed by the new owner.
Applicant hasread this permit,and agrees.,to abide by the current City of Fort. Collins, Standard'
Specifications. andto;any such, special conditions, restrictions;,•and regulations that �may.be�im
posed by the City Engineer.
Applicant's Signature: Date: J
Engineering Approval: Date:
Application Fee: $' Total Due: $
Conditions:
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Last Revised 7/08
281 North 'College Avenue ,'P.O. Box.580 Fort Collins, CO 80522-0580,970.221'.66051FAX 970.221'_6378
- wwwfcgov.com/engineering