HomeMy WebLinkAboutSWP272850(2) )'n
Short Plat•(SHPL )
REQUEST FOR PROTECT iff Prelim Plat (PPtr )
CAG 0
To: Technical Services Date (�49
b wog CQ 5 33p G/ L� ;),Gs
From: Plan Review/Project Manager T,,/\�k
Project Name ' * u(- F)
(70 chanc(crs rr=)
Description of Project: 'Pfi kk-Gk Az o,- 'bb \vg tD C y%C,-+- -%(*\_ &Q&k-- vl
5\DK. IFi� Inc�ks \Dn pIa(buYkd yTbao l -pr V&1D#L5E , Eo.�E nm t�s)_
��\Pam r Qa.�me_V�, �-hha c,rt,llf r an:� A r u,\i1aLA ADC mil .
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 Name(s) N a0- S} 8 Pa-K- 3L tJ , Pr S6.?,OlV ?L T�� r
clQr&en C.k NE , -carvtaran pi
D vlpr/Contractor/Owner/Cnslt::
(70 chamcicrs a=)
Check each discipline involved in Project Ltr Drwg of sheets per discipline
❑ Trans-Storm ❑ ❑
(Roadway(Drainagc) (Off site imp rovcmcnts)(includc basin narnc) (includc TESC shccts)
❑ Transportation (Signa!izador%Cisnnclizadon,Lighting) ❑ ❑
❑ Wastewater ❑ ❑ —
Sanita.-y Scwu Main(ncludc basin namc)
❑ Water (Mains,valve,Hydrants) ❑ ❑
(Include composite Horizontal Ctrl Shcxts)
Suface Water ❑
Improvements (CLP ONLY)(includc basin name)
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TS Use Only ��15b