CM-05-04-074Request for City Council/City Manager Action
City Council City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Planning Department
Contact Person:
Project
Manager/Resource: Bernadette Hayes
Project Coordinator: Dianna Hutchens
Assigned Attorney: Steve Sheets
Council or
City Manager
Agenda Date: 15 -Apr -05
Blue Sheet Wording
For Administration Use ONLY / l
Tag# l,' m- Og-o`( _Q !-1
Documents 1
Received: L. — irj - �S
Return to: V t C.G
Return date: —) (*,
CC: Lynn Olsen
Project Name: Partial Vacation of PUE -
ContractorNendor: N/A
Funding Source:
Amount:
N/A
N/A
Consider the partial release of a 20' drainage, storm sewer, access and public utility easement on Lot 40, Block J, Forest Ridge Phase Twom Williamson County, Texas.
Finance Information
Is Funding Required? EI Yes Loi No
Initial Construction Contract
Construction Contract Amendment
Q Change Order
Change in Quantity
Unforeseen Circumstances
Q Initial Professional Services Agreement
Q Supplemental Professional Svcs. Agr. #
QPurchasing/Service Agreement
Q Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below)
Finance Approval
El Finance L. Olsen n/a Date
❑ Finance Date
EI Purchasing N/A HB Date
J Budget N/A CYD Date
4/14/2005
4/14/2005
4/14/2005
For Submission to City Manager Only
Project Mgr. Signature:
Dept. Director Signature.
City Attorney Signature*:
City Manager Signature:
* Legal
Date:
Date:
Date: q CS
Date: 16-05.
val is required for all items requesting City Manager's approval.
Updated 3-9-05