HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (4)..........
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Planniria. Development & Transpgrtatton._
Engineering uspartmenz.
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'Revocable Permn'it for Permit Number:. NR
Newspaper
'in the"Right=of-lNay 'Approval'Datw,
(minimum of 7 days required for approval)
ek;ZgAjT� Phone: Z�7~v ���
Appiicant:Name:, - —
Company:
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Address: [� c� 4/o-ft 1 A
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City;,state, Zip:
Dates of,Encroachment: '1 from' application approval
Location of Encroachme�
Type: E3 Pay "Free KNewsrack
Applicant:agrses to submit with this permit appllcatioma,sketch,, drawingr or plan that.
illustrates the location of the proposed newsrack,, obstruction(s), or other structure4n the
public right-of-way.
This permit is non -transferable, Is personal to the Applioant and is non-assignabie, Appiiant
aggress that any transfer of ownership of thebusiness holding the permlt will terminate this permlt
and .tequlre anew appilcation'to be filed by the,newowner.
Applicant has read rthis permit and agrees to abide by the current!City of Fort. Collins Standard, i
Specifications 'and10 any s ch speciatco iti ; res r ; and regutattons that may'be'Im
posed by the City Engin r.
Applicant's Sign re• Date:
..6
Dater
Application Fee: $ TotalDue: $��J
Conditions:
Last, ReviseV/08,
281 North°College.Avenuani P.O. Sox 580 Fort Collins, CO 80522'-058o,,970.221 6e05 FAX 970,221,637.8
'www.fcgov.com/engi'neering.