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CAPITAL IMPROVEMENTS REQUEST <br /> DEPARTMENT WORKSHEET DATE <br /> 1. Project Description <br /> 2. Project Objectives <br /> 3, Costing Method <br /> 4. Justification for Annual Funding Schedule <br /> 5. Relationships to Other Projects or Departments <br /> 4111 6. Operating Budget Impact EXPLAIN 7. Type of Project <br /> PERSONNEL REPLACEMENT <br /> MAINTENANCE <br /> UTILITIES _EXPANSION <br /> OTHER <br /> RENOVATION <br /> 8. Other Agency Interaction (Regulatory, Approvals, Funding Sources, Etc.) <br /> 9. Project Priority <br /> NO. __ OF Submitted by <br />