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SWP272191
Short Plat (SHPL ff ) RL-QUEST FOR PROJECT a Prelim. Plat (PP/f - CAGa To: Technical Services Datc 3 -/ 737 WOu %� `'! Grcca From: Plan Rcvicw/Projcct Managcr /0 4-QM � oe_7- . AZ Project Name 4460 ,�SA49t ��� �" I C.. -r (70 duraacm max) Description of Project: LCl11/'���ti►�'T' �/ a� sIV T �"'� J��/ �IV 4,' CC,try ;e©4 V. Circle Size of Waterline- t0" 12" Circle One: Ncw or Extension Circle Size of Sewerline: 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) 11. 4. ! 7 ( AX, Dvlpr/Contractor/Owner/Cnslt: �ty� 1/� ���� � � 144/ 4m4A* ' (70 durmam max) Check each discipline involved in Project Ltr Drwg fi of sheets per discipline Rr Trans-Storm [C%A8,J►A&wett(Roadway/Drainagc) (Off srtc smprovcmcn(s)(includc basin Hunt) J - (include TESC sheets) Q Transportation (Sit�uliution Charv,cliZa4on Ligt,tir,� Wastewater 5�3$t�r.F}'. " )Ct7,rE y►rf/eANDJ� (Sanitary Scwcr Mai-)(include basin none) — — Z5a Water (Include composite&Horizontal Cut Sheets) TS Use Only Approved by TSM Date: orms/misc/92-090.DOC/CD/bh