HomeMy WebLinkAboutApplication Files_85048_pg0326 TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE ORDER CONTACT PERSON ku i t:-, !1 rt la r phone No.
Address y2S Sullivan AyeriuL
Site Name � . x ��au,�D - 4n kkNru en,r 1�o A n P&z No.
Owner Phone No.67 T 412 W 77
Contractor Al c SA a„e o as TR h'CT t D tJ
Signature of Owner ,-, Date:
Signature of Design Engr.. '..- Date: Y18 / rL.
CHANGE: (Describe location and nature of change. Include
Four (4) copies of plan/profile of Change. )
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2 - ,�►i>o� �rt�tttor.IS +0 NA10tr ogAim Eckvr Ytae. o F 9U11.11lA16
- Lc io ►ze o PraPoSeD GrCIOM 3 E05T Q &ILOM16 aT ru fu►- e grader Purk,n9 Arm
- Aolu5Tfn Gracj,.,9 rand S-Forh.. Wj'1)a9C Azonant fo SutLiWA Avehue PC(Z CoaNbbT
Comm erjTs 5-- AnT65,rivimts fo t/,1aTEP_ 8,'srie18ttT1'0%1 SupPL�
Reason for Change: (Why is change required)
( — �[.>rtrtt)t�T Ccb}ZtrrFA1?S
Z " iir;+�iGV� f1 EXCU�C+Ttanl CUnlDiT �0a11`
3— t.e55 ke ` U1rela Tra.,sPcrT OE' F';11 fo S, TE' Y— C000 ODT biwh(sgS1 5- CT WaTEk
APPROVALS: (As Required) CnlnmfnTS
Dir.. Of Planning .___: `. )K Date:
Town Engineer f. of r Date: /z L.
Dir. of Public Woiks` Date:
Other: Date:
STAFF COMMENTS:
White - Town Engineer Yellow Applicant
Pink - Director of Planning Goldenrod - Engineering Department