HomeMy WebLinkAboutSWP272288 (2) Jh Short Plat(SHPL#
REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date �[ — J L - 7 WO# 0 Qi Green#
From: Plan Review/Project Manager WAY—opA) V—f`t1"elc4e — —Des Le�_f�'z
Project Name U 'C ON fUL &fL -T
(70 characters max)
Description of Project: UAA)I D A 4,t
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" J18" 24" Circle One: New or Extension
Address or Street Name(s) y 3 T/ ST- n l a tm Q U .S-
D vlpr/Contractor/Owner/Cnslt::
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
Trans-Storm y� <ti i G u ( �.1 ❑
(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) ❑ ❑
(Include composite&Horizontal Cui Sheets)
J Suface Water ❑ (�
Improvements (CIP ONLY)(include basin name)
TS Use Only
V
Approved by TSM Date: