HomeMy WebLinkAboutN R ADD - APPLICATIONS - 8/26/2009 (26)Ctof Planning, Development'& Transportatio
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R'nCollins �Engineeringl Department
Revocable Permit for Permit Number: NRR _
Newspaper in'the Right -of -Way Approval Date:
(minimum of 7'days required for. approval)
Applicant Name! / / L Phone:
Company:
Address: j.
City, State, Zip:
r
Dates of Encroachment: 1 year from application approval
Location of Encroachment: -�(, 9,;? &J V w
Type:, o Pay YF ree 0 Newsrack
Applicant agrees to submit with 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.
This permit'is non -transferable, Is personal; to the Applicant and is non -assignable. Appliant
aggrees that:anyfransfer 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 im-
posed by the City Engineer.
Applicant's Signature: Date:. _—
€ngineering,Appro Date: o?� v7.
Application. Fee: $ Total Due: $
Conditions:
Last Revlsed 7/08.
281 North College Avenue P.O. Box 586, Fort Collins, CO 80522-0580 , 970.221.6605 , FAX 970:221.6378
www.fcgov=m/engineering
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