HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010-MAR 0 4 2010
City. of Planning, Development & Transportation
�lins Engineering Department
Revocable Permit for Permit Number: NR
Newspaper in the 'Right -of -Way Approval Date:
(minimum of 7 days required for approval)
Applicant,Name: Phone: Q 0 - 2_72-9- 0 -70 G
Company:
Address: Z-`DO C' . our Vv�o�tic�s -
City, State, Zip: i_4 .aol .ltinS �:O O JZ�
Dates of Encroachment: 1 ,year from application approval
Location of Encroachment: `. ' 2 K o n
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., /,'r f m e r
This permit is non -transferable, is personal to the Applicant and is non -assignable. Appliant
aggrees that any transferof ownership of the business holding the permit will terminate this permit
and require a new application to be#sled by the new owner.
Applicant.has read this permit nd agrees to abide by the -current City of Fort Collins Standard
Specifications.and to any suc special conditions, restrictions, and' regulations that may be im-
posed by the CityEng eer
AppiicanYs Signature: J � Date `f /0
�1
Engineering. App al: Date: J} - 3,/ -/ o
Application Fee: $ /I Tota[,,Due! $
Conditions: lJ 1i i7 G U P c) Izf i rl PS
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Last Revised 7/08
281 North College Avenue , P.O. Box 580 , Fort Collins, CO 80522-0580 , 970.221.66051 FAX 970.221.6378
www.fcgov.com/engineering