HomeMy WebLinkAbout256 LINDEN ST - Filed P-PERMITS -City of k!:tColli�
Planning, Development & Transportation
Engineering Department
281 North College Avenue
P .O. Box580
Fort Collins, CO 80522.0580
970.221.6605
970221.6378 -fax
fcgov.comlengineering
REVOCABLE ENCROACHMENT PERMIT APPLICATION
in the Public Right-of-Way
(Minimum of 5 busi.ness days required for approval)
ENCROACHMEN1T SUBMITTAL INFO: All submittals MUST include the folrowing with this appfication:
1.A sketch plan that shows the proposed location(s) of the encroachm ent(s) and locations of the property fine(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 wiU occupy any parking spaces in the downtown area must notify the City
of Fort Collins Parking Services Department, at 215 N. Mason Street, (970) 221'-66117.
Applicant Name: bf.AD �,O {\
Company: Ua.rlL L��'v\-t :>h ,c\;O"S
Address: 2-S]t I ,od!/\ 5\-
Phone: Q 70 · 2./ t · 2..006
Email: :l.Dieb@ cfur-kli'�h+. Sh.Jdio
City::fa. &t/ifl� State: Co Zip: 'rOS--2.4
Sub-Contractor: ________________________ .Phone: _________ _
Address:. ___________________ City: _________ State: ___ Zip: ___ _
Type of Right-of-way Impacted: D Street □Alley @'Sidewalk □Other. _______ _
Purpose of Encroachment JMcio � Sno:p fNUJ.J..1 SfVJ0 /I CLVr'.llVCA I <pm<s 0-t'1f :lo b b01a'11 � ro�ntf
Dates of Encroachment: From: i / 1C.,r 25 To: � 11.)!1 23 or Until Revoked (permanent type items)
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 pelimit wMI terminate this permit and reqttiire a new application to be
fil.ed 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 speciali conditions, restrictions, and regulations as may be imposed by the Engineering Department.
APPLICANT SIGNATURE:
�
DATE: ';r/l_<j/ l0?.3
Encroachment Permit Type: D Minor D Major
Permit Fees: Application Fee: $ _____ _ Inspection Fee: $ _____ _ Total Due: $ _____ _
Conditions: _____________________________________ _
CITY OF FORT COLLINS APPROVAL: _________________ DATE: ________ _
Revised: 10/15/2018 Pelimit N'umber: __________ _
10.00 10.00 20.00
Please maintain at least 3.5 ft of walkable space along the public sidewalk
8/25/2023
23-9072