HomeMy WebLinkAboutN R ADD - APPLICATIONS - 2/13/2012 (2)02/10/2012 15:37 FAX 9702266427 STYLE MAGAZINE
c i y o7
_Fort CoWns
Planning, Development R Transportation
Engineering Department
PO Box 580 281 N College Ave
Fort Collins. CO 80524
9'r'0-221 -6605 P 970-224-6134 r-
Revocable Encroachment Permit for
Newspaper in the Right -of -Way
(minimum of 5 business days required for approval)
Applicant Name: Lydia Dody Phone:
Company: Style Media and Design, Inc
Address: 211 W. Myrtle St, Ste. 200
City, state. Zip: Fort Collins, CO. 80521
970-226-6400
Dates of Encroachment: 1 year from application approval
Location of Encroachment: Location 8 on city map of proposed locations
Contact Name: g Contact Email:
Karla Vigil karlav@stylemedia.com
_
Applicant agrees to submit with this permit application a sketch, drawing or plan that illustrates the
location of the proposed outdoor eating area in the public right-of-way. Applicant must also submit the
Indemnity Agreement and a cop!r of the Certiflcate of Insurance with the City of Fort Collins Engineering
Dept as Additional Insured.
This permit is non -transferable, s personal to the Applicant and is non -assignable. Applicant agrees that any
transfer of ownership of the business holding the permit will terminate this permit and require a new application to
be filed by the new owner.
Applicant has read this permit and agrees to abide by the current City of Fort Collins Standard Specifications and to
any such special conditions, restrictions and regulations that may be imposed by the City Engineer.
Applicants Signature:
v Date:
Engineering Approval: i�i"_1E •. Date: / 3
Application Fee: $ /o
Conditions: Nee a .ae !3 Qo_
to 1•a
Total Due: $
Revlsed 03/1512010
Permit Number: