HomeMy WebLinkAboutSWP272341(2) Short PIat'(SHPL# .
REQUEST FOR PROJECT# Pmlim-.Plat (PP#
CAG# )
To: Technical Services Date 9 7 WO# Green#
From: Plan Review/Project Manager 64/,)L
Project Name Li
(70 characters max)
Description of Project: a� fjm ._0 c
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extensions
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 181, 24" Circle One: New or Extension
Address or Street Name(s) 236'9�dt W l a , ra,(kal & . ' ' S' 2 '�' ST
D v 1pr/Contractor/Owner/Cnsl t::
(70 chamctm max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
(� Trans-Storm ❑ 6�
(Road way/Drai nagc) (Off site improvcmcnts)(include basin name) (include TESC sheets)
Q/ Transportation (Signaliration,Channelizadon,lighting) ❑ Q
❑ Wastewater ❑ ❑
Sanitary sewer Main(include basin name)
Water (Mains,valves,Hydrants) Cl ®�
(include composite&Horizontal Cul sheets)
❑ Suface Water ❑ ❑ __—
Improvements (CLP ONLY)(includc basin name)
TS Use Only ✓-f C, pZ 3 q-/ - 3�
jkTtf
r � rF � T= �-3 �f1
Id- 93g1