HomeMy WebLinkAboutApplication Files_85051_pg0152 TOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL:
CHANGE 0 DER CONTACT PERSON 7 Phone No.24941ytawY
Address 1510A ! CL" G7.
Site Name oirr4 c t-AA P&Z No.
Owner 'evic M ! O)c ne No.A0• 74/'��G�
Contractor xl LC"b
Signature of Owner Date:
Signature of Design Engr. Date:
CHANGE: (Describe location and nature of change. Include
t Four (4) copies of plan/profile of Change. )
w '
r
-P�Reason for Change: (Why is change required)
APPROVALS: (As Required)
Dir. Of Planning,/,;, -/1/ ,'i , 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