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CM-05-04-072Request for City Council/City Manager Action 0 City Council a City Manager RF.1"O Submit completed form for all City Manager and City Council approvals. Department Name: Legal Contact Person: Project Manager/Resource: Charlie Crossfield Project Coordinator: Assigned Attorney: Barbara Boulware-wells For Administration Use ONLY Tag# em"Q�J.Q1)- 072 - Documents Received: i - 114 -?D' Return to: PDS C) Retum date: II CC: Lynn Olsen Project Name: Removal of taxes on drainage channels in South Cn ContractorNendor: Funding Source: Council or Amount: $o.00 City Manager Agenda Date: City Manager - April 15, 2005 Blue Sheet Wording Request City Manager's signature on Affidavit attesting to use of drainage channels in South Creek, Sections 6 and 11 for presentation to the Williamson County Appraisal District. Finance Information Is Funding Required? liaj Yes o No 0 CI Initial Construction Contract Construction Contract Amendment Change Order Change in Quantity Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Svcs. Agr. # Q Purchasing/Service Agreement Finance Approval El Finance LJFinance ❑ Purchasing El Budget Purchase Order Item(s) to be purchased: Other (Please clearly identify action on lines below) Date Amount Dale 4I 16 (c S Date Date For Submission to City Manager Only Project Mgr. Signature: Date: Dept. Director Signature. City Attorney Signature: City Manager Signature: * L Date: Date: T pit os Date: Li _ 15 - t ,-S royal is required for all items requesting City Manager's approval. Updated 3-9-05