HomeMy WebLinkAboutSWP272331(2) Short Plat'(SHPL f
REQUEST FOR PROJECT# Prelim Plat (PP#
CAG# )
To: Technical Services Date )D WO# $ g p9 7 Green#.
From: Plan Review/Project Manager Kfol I-G4 K I T-Fe-lck--
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Project NameFri I
(70 di=cl max)
Description of Project: (�" Wa ()J y
ircle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: �p� 8" 10" 12" Circle One: -l^ cw
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) -1 n & PL, A) F — A.)L 16 61 S T K I CKJ.,J-AJO �j
'�(-�,C�-, vnJ A-U VJ
D vlpr/Contractor/Owner/CnsI t::
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
ate Trans-Storm ❑ ❑
(Roadway/Drainage) (Off site improvements)(include basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelization,lighting) ❑ ❑
❑ Wastewater ❑ ❑
Sanitary Sewer Main(include basin name)
Water (Mains,valves,Hydrants) Cl I
(Include composite&Horizontal Cui Shee(s)
❑ Suface Water ❑ ❑
Improvements (CIP ONLY)(includc basin name)
TS Use Only ��,- �� - L33 1
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