HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010 (4)MAR 0 41010
city'®f 'Planning',, Development & Transportation
F o
r$ tins. Engineering,IDepartment'
y C
Revocable Permit for Permit Number. ,NR
Newspaper in the Right -of -Way Approval'Date:
(minimum;of 7 days required',for approval);
Applicant Name: Phone: 0 - ZZclCD `70 0
Company:
Address:. Z O _�> C .00a.VIMau.� t cat
City, State, Zip: t— Co 1.0 'bL
Dates of Encroachment: 1 year from application approval
Location of Encroachment:,
.Type:, O Pay Free 0 Newsrack
Applicant'agrees to submit with this penmit application ,a sketch, drawing, or plan that
Illustrates the location of'the proposed newsrack, obstruction(s), or other structure iin the
public right-of-way. e r .
This permit is non -transferable, Is personal to the Applicant and Is, non -assignable.. Appliant
aggrees that anytransfer of ownership of.thebusiness holding, the permit will. terminate, this permit'
and require a new.application to be filed bythe 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 maybe im-
posed by the City Eng' eer
Applican s Signature✓L � ' /
Date:
Engineering App al:. Date:, —�� / -/0
Application Fee: .$ Total Due: $ / O' 's `'O
Conditions: °t} G U- r f r CX e '::� 1--) Q' i k? & '
o h e fr- Ig (f6 dLa ZIP' Zee h c/
W.
Last -Revised 7/08
281 North College Avenue P.O:'Box 580,,Fort Collins; CO 80522-0580r970.221.6605 iFAX.970.221.6378'
www.fcgov.com/engineering