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SWP272840
Short Plac'(SHPL#- REQUEST FOR PROJECT# Prelim.Plat (PP# ) CAG# ) To: Technical Services Date WO# Green# From: Plan Review/Project Manager `ye\\ V,J0.\�S Project Name \Y101e1�CQ�� 9 ���"" A (70 characters max) Description of Project: lYfJrt a Quu ,r sewf �b-C Q N� �� stwel( line,. I nskm q (D au0 \ �4.0� Opt ih \o' egsewm� E)4 v A exi�rY1a s�tfm r�ra�nQge. s�1shevY1 Circle Size of Waterline:Q 8" 10" 12" Circle One: ew or Extension Circle Size of Sewerline: 8" 10" 12" Circle One: 9C or Extension Circle Size of Stormline: 15" 18" 24" Circle One: New or xtensio Addressor Street Names) NE IA-Y NE B" c5tee2ek D vlpr/Contractor/Owner/Cnslt:: (70 charactcrsrnax) Check each discipline involved in Project Ltr Dnvg #of sheets per discipline ® Trans-Storm ❑ ® S (R oadway(Drainagc) (Off zitc improvcmcnts)(includc basin name) (include TES sheers) ❑ Transportation (Signal zabori,Ch-rurclization,Lighting) ❑ ❑ L Wastewater (& tB Sanitary Scwcr Main(include basin name) 10 Water (Mains,Valves,Hydrants) ® \ - (Ir.cludc composite G Horizontal Ctrt Sliccts) l4 Suface Water ® ❑ -© Improvements (CLP ONLY)(includc basin name) CD TS Use Only TAD L\ —�— v.�wp-a�- a,��0 S-a%40 ash L�o