HomeMy WebLinkAboutSWP272714(2) Shdrt Plat•(SHPL#• .
REQUEST FOR PROJECT# Prelim.Plat (PP#
CAG# )
To: Technical Services Date ��j = �KWO# � Green# 7
From: Plan Review/Project Manager 'I
Project Name
(70 characters )
Description of Project: 0, '
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewedine: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" IS" 18" 24" Circle One: New or Extension
Address or Street Name(s) f
Dvlpr/Contractor/Owner/Cnslt::
�- (70 characters )
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
❑ Trans-Storm ❑ ❑
(Road' y/Drainagc) (Off site improvemcttts)(include basin name) (include 77FSC sheets)
❑ Transportation (Signalizadon•Channclizadon,Lighting) ❑ ❑
❑ Wastewater ❑ ❑
sanitary Sewer Main(include basin name)
❑ Water (Mains,valves,Hydrants) ❑ ❑
([ncludc composite 6c Horizontal Crrl Sheets)
❑ Suface Water
Improvements (CP NLY)(includc basin name)
TS Use Only ( ��— �' 14 —2 7 4 �—