HomeMy WebLinkAboutN R ADD - APPLICATIONS - 2/26/2009 (7)Feb! '20 09 �04: 29p r B. Delaney 970. - 454 9068.
Planning, Development & Transpolrtati
Fw Whits Engineering Departm
Revocable Permit for Permit Number: NR
Newspaper in the Right -of -Way ,Approval Date:
(minimum of 7 days required for apprW an,
Applicant Name:t=�:t ec��,c�,ze�c=s' Phone: � —I ;72)
Company�cec.: . (�-y cL�t-fc .
Address: 7>�-c-!lC^rti.P�-ttc S�'•
City, State, Zip: OCIALO `j lrCL<; 2iLi
Dates.of Encroachment: 1,yearfrom application, approval
Location of Encroachment:
Type: D Pay Free, t] Newsrack;,
Applicant agrees Wsubmit with this:permit application a sketch, drawing, or plan that
illustrates the location of the proposed!newsrack, obstructlon(s). or otheustructure In the
public right-of-way.
This permit is non-transferable,.is.personal'to the Applicant and. is non -assignable. Appliant.
aggrees that any transfer of ownership ofthebusiness holding,the,permit wiil,terminate(this ,permit
and require a new application to be filed bythe new owner:
Applicant has read this permit and agrees to abide by the current City, -of ,Fort Collins Standard
Specifications,and1o,anysuch special condition% restrictions, and regulations)that maybe im-
posed, by the City Engineer.
Applicants. Signature: Date:
Engineering Appr al: Date: O
Application: Fee: $ J Total Due, $
Conditions:
Last Revised 7/08
281 North College Avenue, P O: Box 580,iFort Collins, CO 80522-0580 ,970,221.6605 iFAX 970.221.6378'
www.fcgovcom/engineering
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