HomeMy WebLinkAboutChange Order Town Garage TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON = �� n! Phone No. e60-6g 9 46
Address 14S-3" iu66S -vekr-)
Site Name 60.0 &Aak-6 P&Z No.
Owner LA�- ,2 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. )
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Reason for Change: (Why is change required)
APPROVALS: (As Required)
Dir. Of Planning J Date: .3 �
Town Engineer '
g Date:
Dir. of Public Works Date:
Other: Date:
STAFF COMMENTS:
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department