HomeMy WebLinkAboutN R ADD - APPLICATIONS - 2/26/2009 (8)Feb.20 09 04:15p B- De.laney 970 4:54 9068
Planning, Development & Transportat
Fxt his Engineeringi,lDepartif
l
Revocable Permit for Permit Number NR
Newspaper, in, the Right-of=Way Approval i
(minlmum of 7 days required Mr approveD,
Applicant Name:t 1 �2.c�`one�c�.s' Phone, 1 7 �'� Z z
Company.etr
.Address:
City, State, Zip:C'/1tI�'`i
P. 1'
im-
nt
Dates of Encroachment: 1 year kom%application approval
Location of Encroachment K, N-lounwinAcmington
Type: 0 Pay Free
_.
Applicant agran10 submit with this permit appiication,wsketch, dfawing., orplan that
illustrates the location of'the proposed newsrack,.obstruction(s). or other structurwin the
pubile;right-of-way.
This permit is non -transferable, is personalto the Applicant and is,non-assignable. Appliant '
aggrees that anyrtransferrof ownership of the business holding the permit will terminate this, permit.,
and require a new application to�be tiled. by the new owner.
Applicant hasread this permit and agrees.to abide,by the current City of'Fort..Collins Standard
Specifications and'to any such special conditions, restrictions, and regulations that may be im-
posed by,the CityEngineer. 1
- Applicant's Signature: Cry ,/vl Date:
Engineering Ap v • Date:
Application Fee.$ Total,0ue: $
Conditions:
Last Revised)/08
281 North College Avenue,RO. Box '580.Fort Collins, CO40522-0580 o970.221.6605 FAX 970.221.6378'
wwwJcgov;com1engineering
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