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CM-05-03-066RFC'n MAP 2 4 2005 Request for City Council/City Manager Action I1 City Council City Manager Submit completed form for all City Manager and City Council approvals. Department Name: Contact Person: Project Manager/Resource: Project Coordinator: Assigned Attorney: Legal Department Shelley Gonzales/Rose McMillin Bill Stablein Laura Levinson Don Childs Council or City Manager Agenda Date: 25 -Mar -05 Blue Sheet Wording For Administration Use ONLY Tag# el -o I-03-iw& Received: ? , 2.0 - Q S Retum to: SIA Return date: 5 Documents CC: Lynn Olsen Project Name: CR 122 (Red Bud Lane) ContractorNendor: Funding Source: GO Bonds Amount: N/A Authorization for the City Manager to enter into a Possession 3 Construction Easement for the Red Bud Lane (CR 122) widening project (Parcel #16, CM Collier) Finance Information Is Funding Required? n Yes n No Finance Approval inance EJFinance El Purchasing J Budget Initial Construction Contract Construction Contract Amendment # Change Order Change in Quantify Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Svcs. Al # Purchasing/Service Agreement Purchase Order Item(s) to be purchased: Amount Other (Please clearly identify action on lines below) Authorization for City Manager to enter into a Possession & Construction Easement for the Red Bud Lane Project. (Parcel #16, CM Collier). , 51440.5 For Submission to City Mana . r Onl Project Mgr. Signatuie: Dept. Director Signature: City Attorney Signature*: p r Date: 3 �3 Date: Date:3 —23 -b Dock, 3-R5-05 C i i'y rn GLV 1 CLOD Updated 39-05