HomeMy WebLinkAbout14-32P Clark Estates Change Order Drainage TOWN OF SOUTHJWINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON D b M etn iy i1 o Phone No. 11 16- 6 v(
Address 1400 c+ 2el (O"' "or C"!
Site Name C le,rk 1-:f54-4,eS P&Z No.
Owner— Metrmor;no 6oddrf5 , LIC. Phone No. 91-705S
Contractor
Signature of Owner ` ,/or., Date:
Signature of Design Engr. r Date: - 17- Zo�y
CHANGE: (Describe location and nature of change. Include j
1 Four
// (4) copies//of plan/profile of Change. ) tt
`-1"1 t&-)J' �c.l:)PCT �J C'K;5`• lr�
et c-r is Si ree4
e,)4rn.7ce w; i be e.zllr:le� 56 qA«-{ : e oy4 nT YA
'tern yc>�f d �.�t•y
Reason for Change: (Why is change required)
5E'e ccC7oV
APPROVALS: (As Required)
Dir. Of Planning .J,& L=JjC— Date: L/ /
Town Engineer '' Date:—
I.Dir. of Public rks Date:
Other:
Date:
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning