HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (6)City of Planning, Development & Transportation
Ford Collins
Engineering .Department
Revocable ,Permit for IPermit Number:NR
Newspaper in the Right -of -Way' ApprovalDate•
Wrilmunof 7'days.rewred for approval
Applicant 'Name- _ Phone:
'Company: �11D(L1 tVi ryi u /l d%an�5�.•r.,j�.
Address: �F, D3
City,: State, Zip:
Dates of Encroachment:, 1, year from application, approval
Location of Encroachment. U�r.r-�.„,, O g& it '(ALLX&20` l C
r.
Type: Pay 'Free XNewsrack n ,,,� �►�1�,,�,pyc
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Applicant agrees to submitwith this permit application a sketch,'drawingr or plan that
Illustrates the location of'the proposed.' newsrack,.obstruction(s); (or other structure in the -
public right-of-way. j
This permlt'is non4ransferable,,Is pe-isonai to the. Applicantand'is non -assignable. Appllant
aggress that any -transfer of ownership of the business holding; the permit will.terminate this, permit
and require a newoppllcatlon to! be filed! by the new owner.
Appiicant.has read this.permit,and agrees'to. &de by the current City of Fort Collins Standard
Specifications�and to any s ch speciatcon ; res r c , and regulations that may be Im-
posed by the City Engin r.
Applicant's Sign re: Date:._
Engineering Appr a : Date: a-ep,�'i
Application Fee: $ Total Due: $_
Conditions:
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Last_Revlsed 7108
281 North College Avenue r P.4; Box680', Fort Collins, ; �80622=068R *970.221 6606:rFAX 970.221:6378
www:fcgov;com/engineering
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