HomeMy WebLinkAboutSWP272951 •, Shdrt Plat (SHPL# .
REQUEST FOR PROJECT it Prclim Plat (PP#
CAG# )
To: Technical Services Date // 7-- O WO# 870 3 1 Green#
From: Plan Review/Project Manager 0&4- LV /'A 34-:—X 7-
l
Project Name /Tf, Qf S0N r I-AIVOING 58041- /1�1,47--
(70 ch=c(crs max)
Description of Project: r244,4 }770A/ p/C ;AANI CK s5GVZ-< . 57'pIQIM 0,64/NIF*A�-
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Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 101, 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: Nei or Extension
Address or Street Names) .. /
Dvlpr/Contractor/Owner/Cnslt:: ,Tae /�,�KSS
C&«L M 41.1./04 S (70 charactcrs r,=)
�a Puss f
Check each discipline involved in Project Ur Drwg #of sheets per discipline
Trans-Storm ❑ 5
(Roadway(Dcainagc) (Off sitc improvcmcnts)(includc basin namc) (includc T SC shccts)
Transportation (Signah adon,Channclization.Ligh(ing) ❑
Wastewater ❑ � 1 ---------
Sanitary Scwu Main(ncludc basin namc)
`X1 Water (Mains.Va1vu,Hydrants) ❑ ❑
(Include compozitc fc Horizonul Cut S��a�J
Suface Water ❑ ❑ c ---�--�
Improvements (CIP 0[!LY)(includc basin name)
( ! I1
TS Use Only �—
/m : 0 �� _ g