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_ Town of Mashpee <br /> Capital Improvement Program—FY "7 <br /> Prdeet Request Form Date <br /> (Please Type All Respoizses) Project No. <br /> Department <br /> .2. Project or Equipment(Short Title <br /> . , Description and Purpose of Project or Equipment <br /> estimate life.of proimtor eguipment Years <br /> . status Of Pro sect or Eguipment <br /> site Secured Not Secured Not Required <br /> Survey of Need Under Study Completed Not Required <br /> Preliminary Plans or Under Study Completed Not Required. <br /> Specs <br /> Final Plans or Specs Under Study Completed Not Required <br /> . Priori . Cost Estimates <br /> Urgent Preliminary Final <br /> Necessary <br /> Desirable Land Costs <br /> Construction Cost <br /> Other Cost <br /> Total Cost <br /> 7. Effect on Actual Operatin2 Budizet 8. Source Of Funds <br /> perat o al $ Current Revenue <br /> Maintenance - .....�,,. �....__.� Bond Issue .wears <br /> Total - - Short Tenn Note Years <br /> Revenue from.Project yr Other(describe) <br /> New Personnel <br /> .,.- <br /> Required <br /> . Year Proposed for Construction or-Acquisition FY <br /> 10. Comments and Justification(Please attach a sheet describing need in detail include the cost of not <br /> completing this project) <br /> 11. Signature Title <br />