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PROJECT AUTHO RIZATION FORM <br />Service ID: 10 n LD L SID_ PB _ GL_ 1C JE <br />Project Title: Tennis Court Resurfacing Proj <br />(location and work description) <br />Project Manager /Contact /Private Engineer: Kevin Finney <br />ig: <br />Puw Wor e <br />(widths) <br />Mamunanpan0 <br />rete walks <br />Parka6 Opan Soap Ontfiona <br />twicifni <br />ewater Stormwater <br />Cllyol EuOane <br />I Street lights <br />1020ROO vanely <br />building construction Planning Other <br />EuOana,01a 97402 <br />(561)602 -41000 <br />X54 M-41 2F" <br />myw novena <br />Service ID: 10 n LD L SID_ PB _ GL_ 1C JE <br />Project Title: Tennis Court Resurfacing Proj <br />(location and work description) <br />Project Manager /Contact /Private Engineer: Kevin Finney <br />ig: <br />Bike lanes /paths: <br />(widths) <br />(width) <br />rete walks <br />Setback /Curbside <br />twicifni <br />ewater Stormwater <br />Landscaping <br />I Street lights <br />Row required <br />building construction Planning Other <br />Remodel <br />ru1VUINU SVURCt5: <br />City x Assessments Private Other Departmen <br />Account Code 311 - 9335 - xxxxx- 915282 <br />Fed /State /Count /FAA ( %,FIXED) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />This is an A6 capital project. We need to charge staff time against this so are requesting a GJN <br />APPROVED: <br />Project Manager: �� t _ _ "� <br />t <br />Date: <br />Section Manager: <br />- <br />Date: <br />Financial Analyst: �yy <br />Date: / <br />Division Manager: <br />• L • Date: <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <br />GI-Title <br />Assigned by: Date: <br />A ccounting by: Date: <br />ATTACHMENTS: <br />