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PROJECT AUTHORIZATION FORM <br />Service ID <br />4746 SID \ZPB ✓GL 2JC �ZJE J BJE 7 3831 <br />Project Title: Bethel Park Master Plan Revisions - Planning <br />(l ocation and work description <br />Project Manager /Contact /Private Engineer: Emily Proudfoot, POS Planning <br />Paving: <br />ncrete walks <br />(widths) <br />Stormwater <br />Street lights <br />Bike lanes /paths: <br />Setback /Curbside <br />t <br />Landscaping <br />(New building construction Planning, Other <br />Row required <br />Remodel <br />(width) <br />FUNDING SOURCES: <br />City Parks SDC: $100,000 Assessments Private Other Departmen <br />Account Code - tyw - 64r qr — , 3 3!Q — G33,S — q6 t 2 <br />Fed /State /Count /FAA ( % ,FIXED) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />Planning work to manage public process for revisions to the Bethel Park Master Plan. Proposed revisions include placement of a larger <br />community center building for the YMCA. Future phases may include Bethel Branch Library and addition of swimming pool. <br />APPROVED: .� <br />Project Manager: A Date: <br />Section Manager: Date: 2 <br />Financial Analyst: rp fo , Date: - Lq l <br />Division Manager: Date: 2 2,$ , <br />FOR USE BY ADMINISTRATION ONLY <br />apital Project No. 1915140 ACK 336 - 9335- 6xxxx- 915140 <br />LTitle POS Bethel Prk Mstr Ph Revise <br />ssigned by: Date: <br />-counting by: Tammy Smith 3/1/2011 Date: <br />ATTACHMENTS: <br />❑ Budget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />E/M /POS 100 0 WHITE /Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map <br />YELLOW /PW Administration File [2] GOLDENROD /Project Manager Aug 2010 <br />