HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010 (2)r
r.
. City of
Fart CcAtl #S
Revocable Permit for
Newspaper in. the Right -of -Way
(miniinum of 7 days requlmd forappmal)
Applicant Name:
,Company:
Address: 2-`00 0
City, state, zip:
Dates of Encroachment: 1' year.from
M o 4 HIO
00oo 0 3 R
permit Number NR
(Approval Date:
-CLA-i Phone: 'Q J ® - Z-z- al - 0 ?O C)
Le
{MO V_A_ I QCA [
CCD '50-5�s,
Location of Encroachment: �P rn. r ✓f GX,
Type: ❑ Pay I Free ❑ Newsrack v
r o�. ` �s`� ati���- l -v O\A_Ae : e� 39,E �l �i'�°'�
. J
Applicant agrees to submit with this perinWapplication a sketch, drawing, ouplan that
Illustrates the, location, of the proposed newsrack, obstruction(s), or other structure in the
public right-of-way. 1�,,;-�rn e r
This.permit is non -transferable, is�personal to the Applicant and is non -assignable. Appliant
aggrees that any transfer' of ownership of the business holding the permit will terminate this permit
and require anew application tobe filed by the new owner. .
Applicant has read this permit, and agrees to abide by the current City.of Fort Collins Standard.
Specifications.and to anysuc�special.condlb'ons,restrictions; and regulations thatmaybe im-
posed Eby the CItyEng1heer
,{
Applicant's Signature: J Date:
.Engineering Appr al:
Application Fee: $
Conditions: i_ /IJ `d
Q th 0 r Z:
Date:
Total "Due: $ 0 '/���
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iLast Revised'?/08
281' North. College Avenuej P.O. Box 580 Fort Collins, CO 80522-0580,,970:221.6605,?FAX 970.221.6378
www:fcgov:com/engineering.