HomeMy WebLinkAboutN R ADD - APPLICATIONS - 2/26/2009 (3)Feb Z0,09 04:21P -B.. Del,aneti
970454 9068, P-1
FEB 20 2009 PH2:49
Planning, Development &Transportation JA)'
--- Tn-9-Fneering Department,
,,Fort ����
r6qo 00
Revocale Pe for
bi rm iPermit Number NR
' It ,
Newspaper in the Right-ofMcly Approval Date:
(mnirrumof Tdays;Fequirediarappfavao I
'AppiicantNamw. Phone: A 70) Z'
Company..
-
Address JCO
CO N05zl
City,..§Iate, Zlp-
Dates of Encroachment: I year Iftorn application approval
Location of Encroachment' 14. 0,,ik St ---South
Type:. O Pay AFree O Newsrack
Applicant agrees to submit with this permit :application a sketch, drawing, ar,plan,that
Illustrates the: location of the proposed newstack, obstruction(s), OF'Othsf ztructure in the
,public right -of -Way.
This permit is non4ranifierable. Is personal wthe-Applicant and! Is non -assignable. Appliant
aggrees 1hat,any transfer of,ownetship 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 and agreesto abide by:the current,City of Fort Collins Standard
Specifications and to any such special, ,condftions,.restrictions, ;and -regulations that mey'bellm-
posed by the City Engineer.
AppIicar&_s_ftn6!ure-: Date:,
Engineering Appro4al.
Application Pee: S Total Due:
Conditions'
Last Revised 7/08
281 North College Avenue P-0; Box 580, el Fort Collins, CO 80522-0680470221.6605 oFAX 9702211-.6378
www.fcgov;comfengineeringi