HomeMy WebLinkAboutSWP272750(1) (2) Shod PIat'(SHPL•ir
REQUEST FOR PROJECT# Prelim Plat (PP#
CAG#
To: Technical Services Date 7- �?g WO# Green# 7gyj��
From: Plan Review/Project Manager
Project Name c r Ma E,-a. 2f L'I-*::-,zzi �v eG-�
(70 chara tcrs max)
Description of Project: �r�� , k y � �t o i� Pa a r_c� G ✓�.�"t o
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Cucle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) S16 S U-1 l� � S� � �a h 9� �y`e 5
Dvlpr/Contractor/(wnerICnslt::
— (70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
❑ Trans-Storm i3 ( �C '� vt' 1 ,~•� ❑ ❑ C CID �C
(Road way/Drai nagc) (Off site improYcm=u)(indudc basin name) (include TESC sheets)
❑ Transportation (Signalizador,Che lighting) ❑ ❑
❑ Wastewater N //t ❑ ❑
Sanitary Scwer Main(ndude basin name)
❑ Water (Mains,Vayu/ a�cs) ❑ Cl
f r (Include composite&Horizontal Crr1 Sheers)
❑ Suface. Water Ir— /A-- ❑ ❑
Improvements (CLP NLY)(includc basin name)
TS Use Only