HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (3)City,of
Fort Colons
4 Transportatic
0000. 13 W7A
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Revocablis Permit for Permit Number:-
Uewspa�!r in the Right -of -Way Approval !Date:
0MIM of I days requiredifor epprmQ.
Allcant,N Phone: -------
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Company:
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Address:
City, state, Zip:
Dates of Encroachment: I year from,applic0onapproval
Location of Encroachment:
Type: ;13 Pay'"Free KNewsrack
Applichrit,agreds ' to submit with, thl6 permit application a -sketch, drawing; otplan, that
Illustrates the location of the proposed newerack, obstructlon(s), or other structure In the
public right-of-way.
ThN.Permifis non -transferable, Is personal to the -Applicant and'Is-non-assignable. Appliant
aggrees that,any transfer of ownership of the business'holding the permit will terminate this permit
and require anew application to be filed;by the now owner.
App
licant: plicant. has read this permit and agrees to abide by the ,current City of Fort Collins, Standa rd
Specifications. andi to any ;Wrhispaclal con j res r i and,regulattons that may be,fm-
posed, by the City Engirt r.V
D
Applicants Sinfii a ate:
Engln6eringAppa'--�'�Date:�
.Application Fee: $ Total, Due: 1-2i—
Conditions'.
Last ReVIsed;7/08
281 North College Avenue P.O. Box 580, Fort'Collins, CO 970.221 -.66061 FAXWO.221T.6378
wwW.fcgov.corn/englneering
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