HomeMy WebLinkAboutN R ADD - PERMITS - 10/11/2010 (5)City of
Fort Collins
�ngin�eering -
PIanning, Development & Transportation
281 N. College Ave
Po Box $80
Fort Collins, CO 8o522
Phone:97o-22i-66o5 Fax:97o-22i-6378
www fcgov.com/engineering
Revocable Permit for
Newsrack in the Right -of -Way
(Minimum of.7 days requiredfor approval).
Permit Number: E,10002.19RNW
Approval Date: 10/11/2010
,Applicant Info
Contact:
ETHAN SKLAR Phone:720-289-8035
Company:
PREMIUM SOURCE INC
Publication:
PREMIUM SOURCE INC
Address:
1.035 PEARL ST STE 311
Email:
ETHAN.ROOSTER@GMAIL.COM
Encroachment Details
Dates:
10111/201.0 to 10/11/2011
Street. Address:
120 N MASON ST
Location:
IN FRONT OF THE PARKING GARAGE.
Newsrack Type:
Free
This permit is non -transferable, is personal to the Applicant andis non -assignable -Applicant -agrees
that any transfer 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 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 imposed by the City Engineer.
Applicant's Signature:
Date:
Engineering Approval:;
Permit Fee Amt: $10.00 Paid on: 41/19/10 Payment Method:: Check
Conditions/Comments:
0
Permit printed on 11 /19/2010