CM-05-02-021Orn cos-oa_ -oat
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Request for City Council/City Manager Action t li 0 3 Ll1(1b
Please submit this form when placing items on the council agenda or when submitting an item to the City Manager for approval.
Department: EDS/Legal
Contact Person: Latha (J. Kay Gayle)
Project Name: N/A
ContractorNendor Name:
Project Manager/Resource: Eric Langhout
Council Meeting Date: N/A
Funding Source: N/A
Assigned Attorney: J. Kay Gayle
Amount: N/A (contract, agreement,amendment,change order, purchase order,etc.)
Is Funding Required? Yes
Council Agenda Item Yes
Submission to City Manager - Yes
x
No
No
No
x
x
(see required signatures below before submission to the City Manager)
Agenda Wording:
0
Initial Construction Contract
❑ Construction Contract Amendment #
❑ Change Order
[] Change in Quantity
[] Unforeseen Circumstances
❑ Initial Professional Services Agreement
❑ Supplemental Professional Svcs. Agr.
❑ Purchasing/Service Agreement
❑ Purchase Order
Item(s) to be purchased:
Amount
x❑ Other (Please clearly identify action on lines below)
RELEASE OF EASEMENTS
Authorization for City Manager to execute a release of portions
of water and/or wastewater and/or public utility easements
previously granted by Capital City - Socrates, Ltd.
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For Submission to City Manage r Onl
Project Mgr. Signature:
Dept. Director Signature:
City Attorney Signature:
City Manager Signature:
* Lege
Date: 2 -2 -0 S
a0�• Date: 242.10.5-
Date:
aL1oSDate: S
Date: • -O
royal is required for all items requesting City Manager's approval.
Finance Approval
ElFinance -Date and Signature: E. Wilson 2/1/05
X❑ Purchasing -Date and Signature: N/A HB 02-02-05
X❑ Budget -Date and Signature: N/A CYD
gladministrationlcmgr-council action.xls 11-1-04