HomeMy WebLinkAbout201 WHEDBEE ST - Filed P-PERMITS -City of ktColli �
Plannin g, Develo pment & Transportation
Engineering Department 281 North College Avenue P 0. Box580
Fort Collins CO 80522 0580
970. 221 .6605970.221 6378 • faxfcgovcom/eng/neering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
In the Publlc Right-of-Way(Mlnlmum of 5 buslneaa days required for approval) ENCROACHMENT SUBMITI AL INFO: All submlttals MU§.I.lndude the following with this applicatlon: 1.A sketch plan that shows the proposed locatlon(s) of the enaoachment(a) and locations of the property llne(s),sldewalk(s), and street (&). A licensed surveyor may be re quired to accurately locate property bounda,y(s).2.Applicants for an encroachment pennit that wtll occu py any p arking spaces In the downtown area must notify the Cityof Fort CoUlns Pandng SeNlces De partment, at 215 N. Mason Street, (970 ) 221�17.
Applicant Name� TI, C. Tcn.,v IA Ckuv:cL-� I 1',,\ f.V; � �Phone: Y'i 7 -!,f99 · S::O&' ,b (.a_\.\Company; _.Y _______________ Emall: kcu;. , }'.)�1 fs (J a@_ Qr ts. d: q ,Cf4'"' 't�e.) Address: Z.O I II\) b t.d b ( r: Sf:a .J: Ci ty:C ± [n / /,. n-S State: CD Zip: __ Sub-Contractor: step -U f? Ro I f O f:K Phone; Cf 7 D � a-8'S: e I Y: I LfAddress:. _______________ City: { .pv t.-l ll..V\J S tate: CD Zip: 8'0$"" 3> �
Location of Encroaehment (Address ): "ft'ct1 l KJl; � �s :f>:ta.c..t ) 1)LA.n'\.f k;; n, vv �a..�cf -1.f.a. Le
Type of Right-of-way Imp acted: ){street O Alley O Sidewalk O other:-------
Purpose of Encroachment v\J 0:-$ +--e. 1) \ > � 0� o..,R v'\.A. o v • � kt7\M..: b I �
Oates of Encroachment: From: S I 2-'fi Z.) To: � / J J -i. l or Until Revoked (permanent ty pe Items)
Thia permit I• non-tnlnaferable, la pem,nal to the App licant ind Is non-aulgnabfe. Applicant agrees that any tranefer of ownerahlp of the bualn ... holding the pennlt wlll tannlnate thla pennlt and awqulre a new appllcatlon to be flied by the new owner.
Ap plicant has read this permit and agrees to abide by the City of Fort CoHlna Municipal Codes, standard Plana and Specifications and to such apeclal condition s, restrtc::tlons, and regulations as may be Imposed by the Engineering De partment.
APPLICANT SIGNATURE:: _ _L./L;_ll:!�-:::.._�n�U_.::::====-:::.._-----DA TE: .....;;.S-_· ..... f __ �_._2..0_Z......_/ __
EncroachmentPennltT ype : II Minor
Pennlt Fees: Appllcatlon Fee: S IQ g_g.
C Major
Inspection Fee: $ I D "�Total Due: $ _JJ) qQ.
Conditions: _______________________________ _
�' l l CITY OF FORT COLLINS APPROV�: �l 'i:) Q � Q klrz<1C:::: DATE: S:t 1 � :a,.\ Revised: 10/15'i018 ;, T � Pennlt Number:---------21-9038
S/1812021
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CV 201 Whedbee St, Fort Collins, CO 80524
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