HomeMy WebLinkAboutN R ADD - APPLICATIONS - 5/13/2009 (3)City of PlannIng,,'Development & Transportation
F _ l �Uns Engineering Department
Revocable �Permilt for :Permit Number: NR
Newspaper in the Right -of -Way, ;Approval Date::
(minimum of'7 days required forapproval)
• Applicant Name:
Company: �
Address: U2!6
City„ State, Zip:
Phone:.
i.
N
Dates of Encroachment: .1,year fr , application ap roval'
Location of Encroachment:
Type: ❑ Pay � Free ❑ 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 coon -transferable, Is personal to the Applicant and 'is non -assignable: Appliant
aggrees.that any transfer, of ownership of thebusiness 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 ab' y the current City -of Fort Collins Standard
Specifications and to any such ecial co ns, estrictions„and regulations that .may'berim-
posed by the. City Engineer. -
r
Applicant's Signature: Date:
Engineering Approval: Date:, .
Application Fee:
�$ Total Due: $
Conditions:"2D
Last Revised 7108
281 .North College Avenue 'P.O. BOX 580 Fort Collins, CO, 80522-0580 !1970.221.6605 i FAX 97.0.221.6378
www.fpgov.com/engineeting