HomeMy WebLinkAboutSWP272211 Y Short Plat (SHPL # )
REQUEST FOR PROJECT # Prelim. Plat (PP# )
CAG # `� .5- o3S )
To: Technical Services Date 7-/ 7- 9S WO# 25ZB 9 Green#
From: Plan Review/Project Manager �-6F 7 roI:Ly
Project Name U/ on$orr /VQ�V /�/11V E 5pe� S
(70 characters max)
Des//criptiono/f Project: // �S�ra/c l/»�r�i�r c//�s rcayr/t�,as o>< Gts. 6 .�4//�7
s-ldlevla AE r si SbYrn10" 0`r//zag C. T,I?X4 S/ /I� /SC6�
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 0 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or xtension
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt:: Tp /e177 07- T��m�1 -�C-
(70 characters max)
Check each discipline involved in Project Ltr Drwg # of sheets per discipline
Trans-Storm
(Roadway/Drainage) (Off site improvements)(include basin name) (include TFSC sheets)
Transportation (Signalimion, Channclimtion, Lighting) ✓ 2i3
Wastewater
Sanitary Sewer Main(include basin name)
Water (Mains,Valves,Hydrants)
(Include composite&Horizontal Ctrl Sheets)
Suface Water
Improvements II' NLY)I(include basin name)
TS Use Only
1 t�- 4I 2-2-1
Approved by TSM Date: