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HomeMy WebLinkAboutApplication Files_85051_pg0147 TOWN OF SOUTH WINDSOR STAFF SITE CHANGE FOR SITE & SUBDIVISION GENERAL: CHANGE ORDER CONTACT PERSON_AbL S. C/- r-r; Phone No. n)©3 J PN-ye)Y Address 4[ r2 �Z 11rvr4cr Ale Site Name Av low-d / arr�fe P&Z No. Owner_ �r,c�� (,(/+�Sct� n1��0. ��. Phone No. Contractor D A ( ^ L .t, Signature of Owner Date: 'T• L/./� Signature of Design n%Z. F Date: CHANGE: (Describe location and nature of change. Include Four (4) copies of plan/profile of Change. ) /G? lid c(Z .JItiC 4z/ 4 Reason for Change: (Why is change required) APPROVALS: (As Required); Dir. Of Planning Date: 7 ?t Town Engineer Date:. �f ZL-1// L Dir. of Public W rks Date: Other: Date: STAFFCOMMENTS: JUL24 201 PT. White - Town Engineer Yellow - Applicant Pink Director of Planning Goldenrod - Engineering Department