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HomeMy WebLinkAboutSWP273247 Short Plat (SHPL# ) REQUEST FOR PROJECT# Prelim. Plat (PP# ) To: Technical Services Date - r )S WO# Green# LOA Gq---©$S From: Plan Review/Project Manager J lF L-I PqJ A 6a1 4ES- x�-��� Project Name Cxo—mA c EC" )CV--A V-C9r\" (70 characters max) Description of Project: 02 —LOT Q ta4 T l W I TO 12-" VJ AAA- V''_ H A r fJ, Circle Size of Waterline: 8" 10" 2" Circle One: New or Extension Circle Size of Sewerline: 8' loft 12" Circle One: New or Extension Circle Size of Stormline: 8" 10" 12" 14" Circle One: New or Extension Address or Street Name(s) 1{go21 ; U NSA Developer/Contractor/Owner: M l `Z." l S./ 0 �� (70 characters max) Check each discipline involved in Project Ltr Drwg #of sheets per discipline Trans-Storm _ (Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets) OL Transportation (Signalization,Channelization,Lighting) _ l Wastewater (Sanitary Sewer Main)(include basin name) Water (Mains,Valves,Hydrants) (Include composite&Horizontal Ctrl Sheets) TS Use Only 3OL4 5t t-� _ `, "' � Cft_ _ Cif t Approved by TSM Date: fonns/misc/92-090.DOC/CD/bh