Administrative Revision Request Form - City Of Champaign

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Administrative Revision Request Form
Revision Request:
Date:
Requesting Party:
Summary of Request:
Attachments:
Approved As To Form By:
City Engineer __________________________
Public Works Director____________________
Planning Director _______________________
City Attorney __________________________
Plan Commission Notification Date:
Plan Commission Review Request:
Yes
No
(Circle One)
Date of Notification Memo Sent To:
City Manager_____________________
City Council _____________________
City Clerk
_____________________
Note: Copy of this form shall be attached to memo.
EFFECTIVE DATE: __________________
ii
City of Champaign Manual of Practice
March 2002

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