HomeMy WebLinkAboutSWP272224 Short Plat (SHPL# )
�j REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date /0 -/Z - `JS WO# 877Cf/�/ Green#
From: Plan Review/Project Manager C/L Z- Cl yyl ge�,f 7'•
Project Name S/oR/A/(Sr0 l'eCI OK W4le-6 d V 56
(70 characters max)
Description of Project: Z.y ST'4 GC.i4T(Q/V d,-- l ti,4TZ-1�(- 44,411V
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" 18" 24" Circle One: New or Extension
Address or Street Name(s) (5J /
Dvlpr/Contractor/Owner/Cnslt:: A0[/t-nwXE - Frl
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Check each discipline involved in Project Ltr Drwg #of sheets per discipline
Trans-Storm - ❑ X ?a
(RoadwayAkainage) (Off site impmvemcn(s)(inctude basin name) (include MC sheep)
❑ Transportation (Signalizaucn,Channelizatiun,Lighting) ❑ ❑
❑ Wastewater ❑ ❑
Sanitary Sewer Main(include basin name)
XWater (Mains,Valves,Hydrants) Cl X Z
(Include composite&Horizontal Ctd Sheets)
❑ Suface Water ❑ , ❑
Improvements (CH'ONLY)(includc basin name)
TS Use Only
Oe -53 - � 9,0 D //
Approved by TSM Date:
H:forms/utililyt92-090AOC fCD/bh