HomeMy WebLinkAboutSWP272335(1) Short Plat'(SHP..#* .
REQUEST FOR PROJECT# Prelim Plat (PP#
CAG# )
To: Technical Services Date / l WO# g 1 0 ('0 Green#
From: Plan Review/Project Manager C' L 1 i h-t o 2 to 4 4 1
Project Name L / -/z K PU l2 H-o`er L
(7O charaactc s max)
Description of Project:
Circle Size of Waterline: 8" 10" 12" Q, Circle One: New or Extension
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
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt::
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
✓ ✓
G7�
Trans-Storm ❑ �
(Roadway/Drainagc) (off site improv ents)(include basin name) (include TESC sheets)
❑ Transportation (Signalization,Channclization,lighting) ❑ ❑
❑ Wastewater ❑ ❑
Sanitary Sewer Main(include basin name)
Water (Mains.valves.Hydrants) ❑
(include composite&Horizontal Cui Shee(s)
❑ Suface Water ❑ ❑
Improvements (CIP ONLY)(includc basin name)
TS Use Only p-0Pd- r? 35 W