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HomeMy WebLinkAboutApplication Files_85051_pg0150 TOWN OF SOUTH; WINDSOR STAFF SITE CHANGE FOR SITE & SUWIVISION GENERAL: CHANGE ORDER CONTACT PERSON O W E4 c . CIO- � Phone No.;d.3-3 l L1.7o90'4 f ` Addressor,! SOMEh tT. • e IACE CT• © 416 f— Site Name (70 CAS MED. Cif 'G6 �014 / P&Z No. Owner&00 TH S' Phone No. 7a• (aa8 Contractor R-'t C31 c "►'I f,✓ Signature of Owne Dater Signature of Design Date: / 1? C�1 CHANGE: (Describe location and nature of change. Include Four (4) copies of plan/profile of Change. ) v 1� Reason for Change: (Why is change required) -. - Zo MaTck ibv A.-PW-.* 2PAAAC C"t," Ec,(-41(.1444t, jooz Or APPROVALS: (As Require Dir. Of Planning ..�� 2,e Date: �'�a'y 1,3 Town Engineer 4,J d , .t E ,` Date: Dir. of Public iorks Date: Other: Date: STAFF COMMENTS: White - Town Engineer Yellow - Applicant Pink - Director of Planning Goldenrod - Engineering Department