HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010 (5)City"Of
,� art Collins
-
1- �
. Revocable Permit for
Newspaper in the Right -of -Way
.(minimum of 7 days required for approval)
Applicant Name:
Company h
Address: LU`UO
\�
MAR,042010-
velopment & Transoortationi
Engineering Department
Permit!Number: NR
Approval Date:
Phone: q-70 -,0-706
City, State, Zip:
Dates of Encroachment: 1 year,fr plication approval
Location of Encroachment: r7 7 in
Type: 0 Pay. Free 0 -Newsrack
�y j Iate- _ �1tivv�,rs� t- /l 1D Y
Applicant: agrees to submit with this,permit applicatioma sketch, drawing, orplan that
Illustrates the'location of the proposed ,newsrack, obstruction(s), or other structure in the
public right-of-way. h;-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, anew application, lobe Mad 'by the new owner.
ApplicanUhas read this permit; nd agrees to:abide bythe current. City of Fort Collins, Standard
Specifications and, to any su special conditions; restrictions, and regulations ,that maybe im-
;posed by the City'Eng .er
Applicant's Signature: J� Date:
Engineering,App Val: Jan - JA Date;
and
Application Fee: $ / Total .Due: $ I,C%
Conditions IJ�-S C2 Q lJ{' r c)ch
'�
M.
Last. Revised ..7/08.
281, North College Avenue P.O. Box 580 , Fort Collins, CO 80522-0580) 970.221.6605 FAX'970.221.6378 '
www.fcgov.com/engineering