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RENOVATIONS & ALTERATIONS FORM
Please fill out form completely and attach floor plans/drawings before submittal. See full instructions on Page 2.
ORIGINATING DEPARTMENT:
Department/VC Area _______________________________________________________________________________________________
Authorizing Party (Vice Chancellor/Vice Chancellor's Representative)
Note: This signature authorizes the project and the use of the fund source on the following page for the project cost indicated below.
Name ______________________________________________ Title _____________________________________________
Signature ___________________________________________ Date ____________________________________________
Initiating Party (Dean, Provost, Departmental Head, MSO)
Name ______________________________________________ Title _____________________________________________
Signature ___________________________________________ Date ____________________________________________
Contact Information (Departmental Contact)
Name ______________________________________________ Title _____________________________________________
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