HomeMy WebLinkAboutChange Order Doosan Fuel Cell TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON q✓ ' � � r<n5 Phone No.
Address
Site Name �C9d��.v0 -F,(J-P- 0 Ce l I A w, c q P&Z No.
Owner Phone No.
Contractor
Signature of Own r Date: � �r�j
Signature of Desi Engr. Date:
_ CHANGE: (Describe location and nature f change. Include
Four (4) copies of plan profile of Change. ) 44
1 �
on � �� �u� CGnc/��� blosKs, lc ' yd-7 or l, Cgo s
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Reason for Change: (Why is change required)
APPROVALS: (As Require )
Dir.. Of Plannin Date: /0 P1
Town Engineer ' Date:
Dir. of Public Works Date:
Other: Date:
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department