HomeMy WebLinkAboutN R ADD - APPLICATIONS - 3/31/2010 (8)aaf'
�oitliS
Applicant N
Company:
'MAR ® 41010
ovelopment & Transportation
Revocable Permit for
'Newspaper :in the Right -of -Way
(minimum of'7 days required for approval)
Address:, ZOO
City; State, Zip:
Dates of Encroachment: T year from application approval
Location of 'Encroachment:
_l 0000 &_!mil 91WI-)
Permit Number: NR
Approval Date:
Type: O Pay Free ❑.. Newsrack
Applicant: agrees to submitwith 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'.Jrne,r
This permit'isnon-transferable, is personal to the Applicant and'is non -assignable. Appliant
aggrees that anytransfer of,ownership of the business holding the permit -will terminate this permit
and require a new,application to be filed by the new owner.
Applicant has read, this permit nd agrees to.abide by,the,cunent Cityof fort Collins Standard
Specifications and to any suc special 'conditions, restrictions, and regulations that may
by the City Eng eer ,( ' /
Applicants Signature: Date: Y- ./101
Engineering APP al: Date:
Application Fee- $$ I TotatDue: $ _L 1
Conditions:, ha v� �.r l i- CXe'<� e9 r7 cV'P,5- 1f'
tl to f QILI C �� O Mt
)V
Last Revised 7108
281 North College Avenue,, P.O.'Box,580 Fort Collins, CO 80522-0580 1970.221.6605 FAX 970.221.6378
www.fcgov.com/engineering'