HomeMy WebLinkAboutSWP272312 Short PIat-(SHPL# )
REQUEST FOR PROJECT It Prelim.Plat (PP#
CAG# )
To: Technical Services Date a� / W # / / Green#
From: Plan Review/Project Manager
Project Name A;11N
(701'V max)
�V crs max)
Description of Project:
r
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" 24" Circle One: New or Extension
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt::
0 chars crs max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
V Trap -s Storm
1 (Roadway/Drainage) (Orr site improven=tsKnclude basin name) (include TESC sheets)
(�/Transportation (Signalization,Channelization,Iighting)
f: ' Wastewater ❑ (Q
Sanitary Sewer Main(include basin name)
V
Water (Mains,valves,Hydrants)
(Include composite&Horizontal Ctrl Sheets)
❑ Suface Water ❑ O
Improvements (CIP ONLY)(includc basin name)
TS Use Only
1A)7'R - a� - a3 � � (,� - z3 � �-
c� 623 C-12-