HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (15)n+ ^f.
........
s. . - - Department prigineering
,Fort Collih
-`01001-7q
MP
PermitiNumber.. �NR,
Revocable Permit for
Newspaper In the Right-ofMay 'Approval Date:
a (Mine19m of idays requitedfor 8PPMVaQ
45 0 2 ?-1. 7-- L
Applicant Name: '-JMazg�a
'Amiol 5 Phone4
'AW
Cornpany:4MAtf Ue-- COMM"I
Address:: 10:572C -)P,C: 4,1g
F
Cityl. State., zlix.
Dates of FEncroachment: 1, yearrfrom appilcationi approval
Location ol"Encroachment:
Type: �13 Pay )<Free XNewirack
Applicant agrees toisubmlt with this,,permitapplication aslkdtdh, drawing, or plan that
Illustrates the location of the proposed! newsrack, obatructlon(a), or other'structure 'In the
publia right-of-way.
Thia:permit is. non4ransferable,4a 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 requir&a new,applIcallonito be -filed bythe new owner.
Applicant has read this, permit and agrees, to, abld I of the current City of 'Fort Collins, Standard
Specifications and oany a ch,speclalzo -res i an.cf- regulatlonsthat maybe Im-
posed, by the;CIty ;Engln r.,
-
Applicant'sSign re: a. _ �r1 .
Enginderl%Ap .
�r 0— - �Data
Iq-
ApplicatlonTee: Tote[Duel
Conditions:
LastiRevised 7/08
281,North College Avenue W.D. Box 560,iFbrtiC6lllnq, CO 80622-0680 i870,221-,6806,iFAX:9701.221;6378
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