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Scottsdale

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No Conflict Form

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PART I must be completed and submitted with improvement plans. PART II must be completed before the Plan Review Division may approve improvement plans.

Please list the utility company name and the date that improvement plans were sent to each appropriate utility company. The city will provide Utility Conflict Review for the following City of Scottsdale utilities: water (potable & non potable), sewer, storm drain, and fiber optic lines.

The Plan Review Division will perform a utility conflict review of City utilities for improvement plans submitted with this form. No separate utility plan submittal is required.

ELECTRIC

TELEPHONE

NATURAL GAS

CABLE TV

OTHER

OTHER

I,

, certify that plans were submitted for conflict review to the identified utility companies on the dates listed in the above table.

The purpose of this form is to ensure coordination for locating facilities associated with dry utilities relative to improvements proposed on final plan submittals.

As a representative of

, I certify that I have reviewed the plans for the development proposal named above and, to the best of my knowledge, find no conflicts with regard to any new facilities that my company will need to install to serve this site. I understand that my company must notify the City of Scottsdale’s Inspection Services Department at (480) 312-5750 a minimum of 24 hours prior to installation of any surface facilities.

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