Memorandum

To:	enter name, Choose District, R/W Acquisition Supervisor
From:	enter name, enter title
Date:	Enter a Date
Subject:	Project No.:	Enter Project No.
R/W ID.:	Enter RW ID
Designation:	Enter Designation

These revisions are approved by the State on Enter a Date.

Revised sheets of sheets.

Parcels Affected:
Enter Parcel	Choose an Item (deleted, new, none)
Enter Parcel	Choose an Item (deleted, new, none)
Enter Parcel	Choose an Item (deleted, new, none)

Remarks: (Enter summary of revisions with reason for changes)

(Enter detailed revisions identified by sheet and parcel)

Attachment(s)

cc:	District Administrator District Construction Engineer District Utility Agent Chief – R/W Bureau Financial and Administrative Section	Acquisition Section Utilities Section Special Programs Section Appraisal Review Section Access Management Section	Project File County Choose an Item Traffic & Safety Bureau Environmental