HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (17)Clay of
Plannlnq, Development & Trans
or�oui
Revocabl'e Permit for OermitNumben N
Newspaper in the Right -of -Way, ±Approval"Data,
(minimum of 7 dap,requ►led for approval]
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ApplicantName:Phone:3'too�7�
Company: �hjjl[Akn rf nAM uA-1r1&JS Ve.. l- !u'."s [4AI 2'
Address: TTZK E--
City, State,'Zip: �O&A,%K,�
Dates, of Encroachment: 1 year frorn application approval �d
tn� c�
Location of�Encroachment:
Type: r] ;Pay Fre Newsrack C104�� j f
Applicant agrees to,submit with this.permit application a sketch, drawing,, or plan that
illustrates the;locatlon of,the proposed newsrack, obstruction(s), or other structure in the
public right-of-way.
This permit is non -transferable, s personal to the.Applicant and, Is non -assignable. Appllant
aggrees that any transfer otownership of the business holding the permit will terminate -this permit
and requirem,new applicationtoAbe flied by the new owner.
Applicant has ,read this permit;and agrees,to abide by the currentCityof'Fort!Collins Standard
Specifications and to,any s ch special co , ,res r c , andreguiatlons that maybe im-
posedi by thetClty Engin, r;
Applicant's Sign re: Date: U "
Englndering Ap o Dates
Application Fee: $ Total Due: $
Conditions:
LastiRevised 7108
281 North College Avenue;, P.O. Box 680i,Fort Collins, CO 80522-06801970.221.-6606 FAX 970:221.8378,
www.fcgov.comfenglneeringi