HomeMy WebLinkAboutN R ADD - APPLICATIONS - 11/26/2009 (28)j .. ................. .._............................. ...................... ................... ...................... ,....... ,.....
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0ty Of Planning, Development & Trans ,ortation-
Fort Collins Engineer ng epartment�
Revocable 'Permit for Permit,NuMber: NRj
Newspaper in the Right -of -'Way -,Approval pate:
(minimum of.7 days requlmd'forapprovaq
Tor, RIM I
Address:` 7%'�1 Z„-:
City, state, zip: 0��
Dates of Encroachment: 1 year:fromiapplicationapproval
k"y
Location of Encroachment, UQuX6, AD& & - Stu u S C-0- `e,
Type: a Pay )+ :Free KNewsrack
.Applicant agrees to submit withthis permit application a sketch, drawingor plan that
illustrates the location of the proposed newsrack, obstruction(s),. or other structure in the
public right-of-way.
This permit Is, non -transferable, la;personal to the Applicant and non -assignable. Applient ,
aggrees that�anytransferof ownership of the business holding the permit will terminate this permit
and require a new application to be flied by the new owner:
.Applicant has read this permlt;and agrees to abide by the,currenMity of Fort Collins: Standard
Speclfications,and to any ch special, -co 0111aff res r , and regulationsthat may1be,lm-
posed by the City Engin r.
Appiicanft Sign re: 'Date:,
EngineeringAppro W:. i Date:
ApplicationFee: $ Total Due: $_Ak�.�
Conditions:,
l-ast'Revised7108
281 North College Avenue P.O. Box.6W, Fort Collins, CO 80622-068C t97U:221:6606 i FAX 970.221.8378
www.fcgov:com/engineering