HomeMy WebLinkAbout314 S SHIELDS 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 s hows the proposed location(s) of the encroachment(s) and locations of the property line(s),
sidewalk(s), and streat(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 noti fy the City
ofFort Collins Parking Services De partment, at 215 N. Mason Street, (970) 221-6617.
Applicant Na me: Brett Farnsworth Phone: _4_8 _4-_7_8_7 _-9_2_9 _6 __
Company: ---------------'Email: bfarnsworth37@gmail.com
Address: 7 4 7 Peck Rd City: Downingtown State: PA Zip: 19335
Sub-Contractor:. _______________________ Phone: ________ _
Address:. __________________ City : ________ State: __ Zip: __ _
location of Encroachment (Address): 314 S Shie lds St, Fort Coll in, co
T ypeofRight-of-wa ylmpacted: D Street ii Alley 0 Sidewalk D Other: _______ _
Purpose of Encroachment: _M_o_v_i n---=g_P_o_d _______________________ _
Dates of Encroachment: From: __ �'-�'-
From: 12/16/22 To: 12/21/22
To: __ / __ / __ or Until Revoked (permanent type items)
This pennlt Is non-transferable, Is personal to the Applicant and Is non-assignable. Applicant agrees that any
transfer of ownership of the business holding the pennlt will tennlnate this permit and require a new ap plication to be
flied by the new owner.
Applicant has read this permit and agrees to abide b y the Cit y 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.
APPLICANTSIGNATURE: MF� DATE: 11/17/22
Encroachment PermitType: ii Minor D Major
Permit Fees: Application Fee: $ 1 0 Inspection Fee: $ 10 Total Due: $_2_0 ___ _
Conditions: To stage moving pod as close to the house as possible. Allowing for a 13 foot access to alleyway.
CITYOFFORTCOLLINSAPPROVAI.�' 'I (� DATEc 12/12/22
Revised: 10/15/2018 Permit Number: _________ _ 22-9099
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