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�ntao���q�� <br />J <br />CONTVZAC� COvERSHEET <br />o� NOTE: Shaded areas are for County Executive review. <br />pt=1?�R�MEtJ� 2 <br />CONS RA TJRT?.PF pl1M #' <br />PLANNING DEVELOPMENT <br />Contract Addendum' <br />�{ ;FhIrs v l�taei,r�iant dr3end�m O i,`J DS CCEPZ J <br />Addendum;Pleasgmclude <br />'m <br />- <br />r. , — --- - -- -- - <br />. <br />c 1 er <br />'�1tl,d1tfi_lk.SrtCtLefly`;'- © YES al NO <br />❑ Rds <br />r <br />•F-�,::•:C-.,::>�v=_� _[ mat_ �rlt+;::i .. _'.."•�F:: F��v�.i. t. �. — — __ _� __- _ __ J 4 _ <br />iGii�122tirJ� 3 01 Air -3st <br />10 <br />4:=:!�!lu[��::m.���Qn�r �i'�r � e� �t�vm (��D� �� � <br />❑ I ntex�c�v#rhm�nta[" <br />` ❑ <br />' <br />_ y y. e: montament perpetuation endWtpettySale <br />PtraEc� <br />.�...;�F : <br />caordlna e acquisition . : <br />❑ Q#tier <br />"'® <br />8 ''Ven or or Fun �n S r <br />d guce,.PPiiVER VALL-EY !-AND SURVEYING, LLC <br />o Nltk/�rtvr'c . .22903 <br />'BtdlRlr erg :P":# i 31 05 <br />9 �fgr$'nf-Urlifs-�os)trorrs? ❑YES ❑ NO bNill equire on-going or matching funds? ©;YES ®NO- <br />=4Q ire ftllld� m�lude� Irl tfie budget YES ❑ NO <br />.. .., .. <br />tivc:- .sem= r,Ir e <br />�- C5-R�CSCtk� 31673 <br />'=1�'1�}kceourit a• �frg � 061 <br />r�L <br />7 a <br />Amount $' n� <br />QtgG A.T7��riot1€�t, G�rg& <br />Amount <br />AccQun 1�b &A�tl�i���;_Qrg .� <br />AmriUnt <br />— <br />_�^ <br />_.,... _ <br />12.1§.F5resolut;on ieeoted U Yt_S .v0 If'YES`"=please attach a copy of <br />the.Resoliat�on <br />Resolution h a area„ F�pro ed { th'e County $oard, Resoiuuon No. & da±e of:a4lop. ion <br />' 13 .Does Domestic Partua(F6enefit&:reLuirementapply ❑ YES ❑ NO <br />^ <br />t•"7., <br />-- -- <br />CONTRACT REVIEW/APPROVALS <br />Initials Ftnt Date I,In` Date Out <br />Received <br />ontroller h W <br />v Corporation Counsel (1 11-71144 7 < <br />1 Risk Management tt f <br />—�---�— <br />ADA Coordinator <br />i) <br />C.� Purchasing Agent < <` <br />County Executive -15 -iCi f! 24-!(f <br />Footnotes: <br />1, <br />9 <br />VENDOR <br />or Name & Address <br />one <br />::-ma <br />Return To: NameMtle: Daniel Frick Dept.: Planning & Development <br />Phone: 608-266-4252 Mail Address: CCB Rm. 116, <br />E-mail: frick@countyofdane.cam <br />01247 (v19) <br />