HomeMy WebLinkAboutSWP272805 Short PIat'(SHPL ff .
REQUEST FOR PROJECT# Prelim.Plat (PP#
CAG# 5�L)4 n -3�» 3;2,)
To: Technical Services Date d 3/ 9P WO# 04 0 U Green# 7B 5!j
From: Plan Review/Project Manager C ( f 0"I O y �-4
Project Name ¢7 f l LA 4 U t I `z S
—T (7o charaaca mac)
Description of Project:
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension �st✓r V f Ce L IhF i,
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension �P,' v aj e_Ll n
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension o ti 5 f> e i ,},zf 5
Address or Street Name(s) 1 y u S Lo ( CI
Dvlpr/Contractorow.eCnslt:: C)"t a 1 1 Tn G f
1 (70 characters max)
E
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Check each discipline involved in Project Ltr Drwg #of sheets per discipline
❑ Trans-Storm I d-C IL �` i^V L� Y ❑ ❑ G L. , C r? 4- C �y
(Road wayMrainagc) (Orr site improvunenu)(include basin name) (include TESC sheets)
❑ Transportation (Signalization•Channelization•Ughting) ❑ ❑ N/A
❑ Wastewater t: ❑ C C- J
Sanitary Scwcr Main(include basin name)
❑ Water (Mains,Valve.Hydcanu) ❑ ❑ C C W
(Include composite 6c Horizonwl Ctr1 Shccs)
❑ Suface Water ❑ ❑
Improvements (CP NLY)(includc basin name)
TS Use Only TEz)-40 3Z D5
VW-a?- ago,
v\/- PI- a�- a 905 W -a gas
9LAZ.- a`7- a��5
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