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Home My WebLink AboutSWP272841 Short Plat (SHPL# ) REQUEST FOR PROJECT# Prelim.Plat (PP# ) CAG# ) o: Technical Services Date q--Z.6— 0 0 WO# F7© 3 Green# From: Plan Review/Project Manager �C-2T Project Name 51AR / )OLA I 1130/ tY seWVp,- (70 characters max) Description of Project: DNS% L Zsy�-j/ar'v r�/� 3/��V Ili �-y Si��.� 'T 0 7—. Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension Circle Size of Sewerline: kl�8" 10" 12" Circle One: ew or Extension Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension Address or Street Name(s) 17 Z v Z- Dvlpr/Contractor/Owner/Cnslt:: 7Ar-1 El /4 J,q C �.�A- ��" - C 11A-'J-7-/f VCT(y.'J (70 characters max) 3-,41C q'i Z Check each discipline involved in Project Ltr Drwg #of sheets per discipline ✓ ✓ Trans-Storm ❑ Cl (Roadway/Drainage) (Off site improvements)(include basin name) (include TESC sheets) ❑ Transportation (Signalization,Channclization,Lighting) Cl ❑ Wastewater Cl ly Sanitary Sewer Main(include basin name) Water (Mains,Valves,Hydrants) ❑ ❑ (Include composite&liorizantal Ctrl Sheets) ❑ Suface Water O ❑ Impr6vements (CIP NLY)(include basin name) TS Use Only -rJ - S age I " ' PP Droved by TSM � 027 - Date: ' 1-11orrns/utility/92-090.1DOC/CD/bh