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CM-05-03-059Request for City Council/City Manager Action MI City Council 0 City Manager Submit completed form for all City Manager and City Council approvals. Department Name: EDS Contact Person: Latha Kumar/Laura Flores Project Manager/Resource: Michael Thane Project Coordinator: n/a Assigned Attorney: J.Kay Council or City Manager Agenda Date: 3/18/2005 Blue Sheet Wording For Administration Use ONLY C ri 05-53- Tag # Cm -64-0A -ote Documents 7 or. 4 ) o-rf. Received: 3- 1 ©7 Return to: Return date: CC Lynn Olsen Project Name: N/A (Easement for Mayfield Ranch) ContractorNendor: n/a Funding Source: n/a Amount: n/a Authorization for City Manager to execute a Declaration of Waterline and Storm Sewer Easement for Mayfield Ranch, Section 7 subdivision. Finance Information Is Funding Required? El Yes LA No D Initial Construction Contract Construction Contract Amendment # Change Order # Change in Quantity Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Svcs. A # Q Purchasing/Service Agreement Finance Approval EJFinance X❑Finance Purchasing Budget Purchase Order Item(s) to be purchased: Amount Other (Please clearly identify action on lines below) n/a L. Olsen N/A E. Wilson N/A N/A CYD Date 3/16/2005 Date 3/16/2005 Date FIB 03-16-05 Date 3/15/2005 For Submission to City Manager Only Project Mgr. Signature: Dept. Director Signature: City Attomey Signature*: City Manager Signature: Date: 3 /6/41.<— Date: 3 / b AJ Date Date: ..i g ,C Co oval is required for all items requesting City Manager's approval. Updated 3-9-05