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SWP272804
Short Plat (SHPL# ) REQUEST FOR PROJECT Prelim. Plat (PP# ) CAG# 334 ©4-0- -17g To: Technical Services Date A yyWO# �� _� z Green# r/ 8 !D From: Plan Review/Project Manager V-� 1-6 V) 0 Project Name TO u S Y-- a,Ce, (70 characters`max) Description of Project: T w o H 0 T c, ci Circle Size of Waterline: g" 10" 12" Circle One: New or 1`x ension Circle Size of Sewerline: 8" 10" 12'' Circle One: New or Extension C f �•�f� > Circle Size of Storrnline: 12" 15" 18" 24" Circle One: New or Extension E:�1c (s Address or Street Name(s) s 19 -EL) —�—� Dvlpr/Contracto Own /Cnslt: I C!::,1, S (70 characters max) Check each discipline involved in Project Ltr Drwg # of sheets per discipline O Trans-Storm I xL 1 t— _ _ C Z (' -� °� G �C (� (Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets) O Transportation (Signalization,Channelization,Lighting) _ — /N11A O Wastewater c(1 l�r — — c- (Sans ary Sewer Main)(include basin name) O Water (Mains,Valves,Hydrants) G 3 C, 4 (Include composite&Horizontal Ctrl Sheets) TS Use Only —r1-D-14 o -a$ WNP-a-7 -a8bq UITI� - a-7- a 904 N-a% b4 P--g` —DUI4 D—W4 Approved by TSM Date: fomis/misc/92-090.DOC/CD/bh