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HomeMy WebLinkAboutSWP272216 Short Plat (SHPL# ) REQUEST FOR PROJECT# Prelim.Plat (PP# ) CAG# ) To: Technical Services Date 7—1 q— 9S WO# 8 76 11 4f Green# From: Plan Review/Project Manager FA U L (,- yM p p 'A e! 7— Project Name SC/7/0 0 L /� (70 characters max) Description of Project: N&V SC11006 eu LQ/NG— Ly7t ' QUA9Wjy -AAaoy 'fe5k)1-3'- i (/�A77GiC i39AIAI SANiTTf/ SFzvfi� MA/#V ZD4' M'1 AMA/NAb� S�rs7�✓�l Circle Size of Waterline: 8" 10" 12" Circle One: New or Extensio Circle Size of Sewerline: 8" 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) Dvlpr/Contractor/Owner/Cnslt:: 46VZON SC//oQL l9/fT_ (70 characters max) tfeAJ7 o/V Sc 6l o v L Dip-, 1w AX A1161 eN 6/Ne96<1AJ 6' Check each discipline involved in Project Ltr Drwg #of sheets per discipline Trans-Storm (RGgDw9y, /'�'� ���Q'�J1f W.FVIO/✓ ❑ Ly` (Roadway/Drainage) (Off site improvements)(include basin name) (include TESC sheets) Transportation (Signalization,Channelization,Lighting) ❑ ❑ l Wastewater (mo-yil illo aBl� 3 Sanitary Sewer Main(include basin name) }� Water (Mains,Valves,Hydrants) ❑ (Include composite k Horizontal Ctd Sheeu) Suface Water Improvements (CIP m ONLY)(include basin ae) TS Use Only - )QC-) 41 (V 7 aa-IC, Woo- a:2'l 6 Approved by TSM Sop- Date: 7 Q IHloruns/utility/92-090.DOC/CD/bh