HomeMy WebLinkAboutSWP272976 Short Plat (SHPL#L/( D -/ )
REQUEST FOR PROTECT# Prelim.Plat (PP#
To: Technical Services Date - ! p z WO# Green#
From: Plan Review/Project Manager 5 j 0 L! AM A- '�b 1T TEA-
Project Name SM kTi4 J ®tom ► ` 1
(70 characters max)
Description of Project: Co 10r,C�e PA-V4XQVL t—ON-, LA) lit ZN ,rtht_1�OAJ
Circle Size of Waterline: r loft 12" Circle One: ew or Extension
Circle Size of Sewerline: 8" loft 12" Circle One: New or Extension sAt-vJ
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Circle Size of Stormline: 8" loft 12" 14" Circle One: New or Extension
Address or Street Name(s)
Developer/Contractor/Owner: ' l TH /To u t4 N z�-t�y�
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
O Trans-Storm
(RoadwayAXainage) (Off site improvementsXinclude basin name) (include TESC sheets)
O Transportation (Signalization,Channelization,Lighting)
O Wastewater
(Sanitary Sewer Main)(include basin name)
FT Water (Mains,Valves,Hydrants)
(Include composite&Horizontal Ctrl Sheets)
TS Use Only 76 -
U0VO - aL7 - 0--77G �29 6
I_ f+ P_r1 Q
Approved by TSM Date:
foans/misc/92-090.DOC/CD/bh