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Home My WebLink AboutGiuseppeina's Bakery Change Order TOWN OF SOUTH WINDSOR STAFF SITE CHANGE FOR SITE & SUBDIVISION GENERAL: CHANGE ORDER CONTACT PERSON fk/,+V Phone No._f10© L -2,-,-b Address Cjq(0_ vUkV'VA-vt Site Nameabl6vo-1 F�1r4� (-�,,, ,�,,�� P&Z No. Owner s l e, Phone No. Contractore.1 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. ) 0 k- etv 1 ` ems me tr e f ► 4<v- `r<-2 Reason for Change: (Why is change required) APPROVALS: (As Require } Dir. Of 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 G�c� T 6- 31 �,. Fj ku- .t o <-- --- yy /s9� �� 6