HomeMy WebLinkAboutSWP272970 (2) • , Short Plat'(SHPL# )
REQUEST FOR PROTECT# Prelim.Plat (PP#
CAG# )
To: Technical Services Date — C),.?— WO# Grcen#
From: Plan Review/Project Manager j k)LkN+3A, iZ=,t-�T\AAI t
Project Name
(7o charactus raix)
Description of Project::'' 3 6kc
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Names) /
Dvlpr/Contractor/Owner/Cnslt:: kp- t-IS 1 L ��"� IT
(10 charades U=)
Check each discipline involved in Project Ltr Dnvg #of sheets per discipline
❑ Trans-Storm ❑ O
(Roadway/Draittage) (Off site improvemcnts)(include bssin nuns) (include TESC sheets)
❑ Transportation (signaliudon,(hinnclir=don,lighting) ❑ ❑
❑ Wastewater O ❑
Smiury Scwcr Main(ncludc basin name)
❑ Water (Mains,valve.Hydrants)
❑ ❑ (IncludccompositeE Horizontal Cu'Sl
O Suface Water O O
Improvements (CP ON[,Y)(includc bssin name)
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TS Use Only
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