HomeMy WebLinkAboutSubmittals Kuhns Family Properties LLC C
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TOWN OF SOUTH WINPSOR
STAFF SITE CHANG'p
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON 1 Ph� fe No.
Address --F-
Site Name P&Z No. j 1
Owner C Phone No., ,
Contractor
Signature of Owner Date:
Signature of Design Engr. Date:
CHANGE: (Describe location. and nature of change. Include
Four (4 ) copies of plan/profile of Change. )
I
Reason for Change: (Why is change required)
APPROVALS (As Required) `
Dir. Off; planning Date: ,.
Town Engineer Date:
Dir. of_ Public Works Date:
Other: Date:
STAFF COMMENTS
White - Town Engineer Yellow -`Applicant
Pink '-. - Director of Planning Goldenrod - Engineering Department