HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010 (6)IMM %j I J!ilvjtsjj
MAR, 0 4,2010
City, Collins of !Planning, Development & Transportation,
EDepartment ngineering Depament
F o
Revocable Permit for ;Permit, Number:, NR
New.4pper in the Right-ofMay App,.,.,
Date.
(minimum of 7 daywrequired forapproval),
Phone: QUO - 2--7-R — 0 —70'
Applicant Name? V_ c-'AV-6LA-�
Company. T, In
Address: iL!50:L1. e7
City, State, ZIP!'
Dates, of Encroachment: 'I year from application approval.
Location of Encroachment: J. Y-U 0
I
Type!
0 Pay YFree 0 Newsrack
.e-IvW,j a-v 390
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. h',tm e r
This permit is non-trahsferable, is, personal; to the Applidantrand Is, non -assignable. AppI I lant
aggr6esthat any transfer'of ownership ofthe business holding the perrviltwlll terminate this permit -
,and require a new application to belflied by the new owner.
Applicant has read thisi. permit nd agrees to abide, by the current City of Fort Collins Standard
Specifidations,and4o any su special conditions, restrictions, and regulationathatimaybe im-
posed by the C. City Engpeer
Applicant's: Signature: Date:
Engineering Approial.
9 Date.
Application Fee: $ —'Total Due: $
Conditions- H?11,.,< ha U-P, r-11- de,
o bA to r
t Ze
I tl e tz J, Ca d an
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Last Revised,7708
281 North College Avenue,,!P.O. Box, 580 , Fort Collins, CO,80522-058G 970.221.6605 FAX 970.221.,078
www;fcgov.com/engineedng