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HomeMy WebLinkAboutN R ADD - INVOICE - 4/9/2009Cityof Planning, Development & Transportal CoUins o F Engineering. epartn Revokable Permit for !Permit Number: NR Newspaper in the Right -Of -Way Approval Date: per (minimum of 7 days required for approval Applicant Name: Phone: �g o] 2l1 ©�; 3 Company.T� Address:.- — la Z u /L e A City, State, Zip: ,Dates of Encroachment: 1 year from application appro4al Location of Encroachment' 4f!T,.jk a 5 -Fa Jiro, 5 Type: ❑ Pay U�gree . 0 Newsrack Applicant agrees to submit with this permit.application,a sketch, drawing,,or plan that Illustrates the location of On proposed,newsrack, obsbvction(s), or other structure in. the public right-ofaefay. This,permt is non -transferable; is personall to the Applicant and'is non -assignable. `Appliant aggrees -that any transfer of ownership of theibusiness holding the permit -will terminate this permit and ,require a new application•to be filed,bythe�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 maybe im- posed by the City Engineer. Applicant's Signature: r Date: Engineering Approval: Date: Application Fee: $ l Total Due: $fib' Conditions: Last,Revised 7/08 281 North College Avenue�, P.O. Box 580 Fort Collins, CO 80522-0580,,970.221.6605 &AX 970.221.6378 wwwfcgov.com/engineering