HomeMy WebLinkAboutN R ADD - APPLICATIONS - 5/13/2009 (8)city of _ Planning, Development & Transportation
'F-r! Collins Engineering Department
Revocable Permit for Permit Number:, Ng
Newspaper in the Right -of -Way Approval Date:
(minimum of 7 days required for approval),
Applicant Name: 2�;�( Phone:
�2 j!
Company:
Address:
i City, State
Dates of Encroachment .1- year fr application appro a
Location -of Encroachment: L'
Type: . O Pay Free ❑ :Newsrack
Applicant agrees to submit with this permitapplication 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 businessholding;the permit will terminate, this permit
and, require anew application to.be filed by the new owner..
Applicant has read this,permit, and. agrees to abid ythe current City of Fort Collins Standard
Specifications and to any such- eciai con s, strictions,. and regulations that may be im-
posed by the City Enginee
Applicant's Signature: ate: A/4
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Engineering App . at
Application. Fee:'$:" Total Due: $ ,/ ' ec_j
Conditions: C;---,A
i
Date:
Last Revised .7/08
281 North College Avenue., P.O. Box 580.Fort Collins, CO 80522-05801970.221.6605 iFAX 970-221.6378
www.fcgov.com/engineering