HomeMy WebLinkAboutAppl 23-29P 2025 survey changeorderTOWN OF SOUTH WINDSOR
STAFF SITE CHANGE
FOR SITE & SUBDIVISION
GENERAL: Change Order No.
CHANGE ORDER CONTACT PERSON C C,�raC� Phone No. -aoa Sala
Address MIA
Site Name JZJ�eC, P&Z No.
Owner ToW v\ o _ t1n_1,�_;hc�scY :.� aceo S ,Crannr►n . Phone No. 2 O
Contractor
Signature of Uwner�� Date:
Signature of Design, Engr. Nl _ Date:
CHANGE: (Describe location and nature of change. Include
Four (4) copies of plan/profile of Change.)
C�V mClL__ V ayC_\agl oL V2ar-TC rv-\ 4-� Tln� _ -euJ R 9 C(Tea,
7"ow ►n 4^7 P. W . 2, -, Q rc�e r -ro e 4 C a.\,J o,T-a -2- ov-T6-C
Reason for
Change:
(Why is
change required)
-rn CLU2
oa
-ra
k?K-\NC t?Qry-�Lq arec,
APPROVALS: (As Required)
Dim. Of Planning Date:
Town Engineer
Dir. of Public Works
Other:
STAFF COMMENTS:
Date:
Date:
Date :
White - Town Engineer Yellow - Applicant
Pink - Director of Planning Goldenrod - Engineering Department