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Home My WebLink AboutSWP272284 Short Plat (SHPL# ) REQUEST FOR PROJECT# Prelim.Plat (PP# ) CAG# ) To: Technical Services Date q WO# Green# From: Plan Review/Project Manager f(;t �,am X,;>I fry k cog 0— 0ea1VL— Pro ect Name � pp (70 characters max) Description of Project: L 1 � ��„�, i i2 ', , , �, 12Z—��, J Circle Size of Waterline: 8" 10" 12" Circle One: ONe-_I or Extension Circle Size of Sewerline: 8" 10" 12" Circle One: ONe or Extension Circle Size of Stormline: 12' 151, 18' 24" Circle One: New or Extension Address or Street Names) 7y lL &U S I - tJ /Vb - B2GAfFr—Te&) A b' Ut D v 1p r/Contractor/Owner/Cn s l t:: (70 characters max) Check each discipline involved in Project Ltr Drwg #of sheets per discipline P'�— Trans-Storm n a o �ame � ❑ �� (Roadway/Drainage) (Off site rovents mclu a basin name) (include TESC sheets) ❑ Transportation (Signalization,Channelization,Lighting) Cl ❑ Wastewater ❑ Sanitary Sewer Main(include basin name) ©� Water (Mains,Valves,Hydrants) ❑ ❑ 5 (Include composite&Horizontal Ctrl Sheets) O Suface Water ❑ ❑ Improvements (CIP ONLY)(include basin narne) TS Use Only 0 �?14 CT Approved by TSM Date: