HomeMy WebLinkAboutSWP272740 i* Short Plat (SHPL#
/J, �' � t Prelim. Plat PP#
,�.�-� REQUEST FOR PROJECT# ( )
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To: Technical Services Date a C t o 6c e-do,Ig9gWOg kq J Green# L UA-9g--1 e n s q-a
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From: Plan Review/Project Manager 0
Project Name 7 — ,Elc Urn 03 5 0( 6
(70 characters max)
Description of Project: M Mar`}' -avx a �a s s t-a.� t n 1-z
Circle Size of Waterline: CB�� 10" - 12" Circle One: New or xtension
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 S
Address or Street Name(s) IV W GOY V--ke-so— S d � •� z� C�a ke:e_ d. -a
Dvlpr/Contractor/Owner/Cnslt: y, L L G
(70 characters max)
Check each discipline involved in Project Ltr Drwg # of sheets per discipline
O Trans-Storm ( l�c-h J�r yc-y— �:��; 1�, _ ?/7 7 , �7 G/7
(Roadway/Drainage) (Off site improvemcntsXincludc basin name) (include TESC sheets)
O Transportation (Signalizuion Channcliza6m Ughting)
O Wastewater d� �' �'E:4— R d 5[ y. — y/ 7 —
(Sanita y Sewer Main)(include basin name)
O Water (Mains,Valves,Hydrants)
(Include con} site&Horizontal Carl Sheets)
TS Use Only t 4✓ " 7 �y — J�U
Ji/� I
-- %
Approved by TStik Date:
,'orms./miscl92-090.DOC%CD/bh