HomeMy WebLinkAbout307 E MYRTLE ST - Filed P-PERMITS -City of ktColll� Planning, Development & Transportation
Engineering Department
281 North College Avenue
P.O. Box580
Fort Collins, CO 80522.0580
970,221.6605 970 221.6378 • fax
fcgov,comlengineering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way (Minimum of 5 business days required for approval)
ENCROACHMENT SUBMITTAL INFO: All submittals MUST include the following with this application:1. A sketch plan that shows the proposed location(s) of the encroachment(s) and locations of the property line(s),sidewalk{s), and street(s). A licensed surveyor may be required to accurately locate property boundary(s). 2.Applicants for an encroachment permit that will occupy any parking spaces in the downtown area must notify the Cityof Fort Collins Parking Services Department at 215 N. Mason Street, (970) 221-6617.
App�cant Name: Douglas Robison Phone: _7_04_2_3_1_9_5_13 __ _
company: __________________ Email. dsrobison@gmail.com
Address: 307 E M yrtle St City: Fort Collins state: CO Zip: 80524
Sub-Contractor: ________________________ Phone: _________ _ Address: ___________________ City: ________ State: __ Zip: ___ _
Location of Encroachment (Address): 30 7 E Myrtle St -----------------------------
Type of Right-of-way Impacted: Iii Street □Alley □Sidewalk D Other: _______ _
Purpose of Encroachment: --------------------------------
Dates of Encroachment: From: __ .,_/--'---To:-�'----or Until Revoked (permanent type items)
From 02/19/2022 to 02/21/2022
This pennit is non-transferable, is 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 befiled by the new owner.
Applicant has read this permit and agrees to abide by the City of Fort Collins Municipal Codes, Standard Plans and Specifications and to such special conditions, restrictions, and regulations as may be imposed by the Engineering Department.
APPLICANT SIGNATURE: ___ _,_�..:;_"='f-.=a.J"'---',£=----=NJ=/J=· ="n,=---________ DATE: __ 0_2_1_17_1_2_0_2_2_
En croachment Permit Type: � Minor D Major
Permit Fees: Application Fee: $J() .QQ Inspection Fee: $ lo .o o Total Due: $ 20 ,0Q
Conditions: ____________________________________ _
CITY OF FORT COLLINS APPROVA�o•\ \
Revised; 10115/2018
J o.Q �DATE· z/ 1'i l z o 2: -i1 v Permit Number: __________ _ 22-9012