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Home My WebLink AboutSWP272228(2) G Short Plat (SHPL# ) REQUEST FOR PROJECT# Prelim.Plat (PP# ) CAG# ) To: Technical Services Date WO# ;977</5- Green# From: Plan Review/Project Manager _PAvL LumBE2T Project Name 51IAJ4)I'-17- ��y L/,VG CAN/- (70 characters max) Description afProject: CgJv fTi(vGT NF(nJ WAQF/ v5` e[i"VC^r O&AT/ON Gy/aev-si? ST6/CM D/Qf��N�¢G•� wRT�iCrntigh/ Gvo� wf/1Y F/�-` can,?fee sr s:hu 5,*6w6( ('00 TNuy GT ,QS(�iri/� Atv© V'a:�w44 S 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) 7o l S,w. 3V M� S T Dvlpr/Contractor/Owner/Cnslt: 7/fff�� A/ �n//Z�T/Q /�jVSH6 If5YCIC. gyp.-T&C. p/� / (70 characle max) /�— AtAfA.lN6 Check each discipline involved in Project Ltr Drwg #of sheets per discipline ✓ ✓ Trans-Storm (SLACK I JyZ-,C ❑ ❑ �( (Roadway/Drainage) (Off site improvements)(include basin name) — (include—f' Fsc sheets) ❑ Transportation (Signalintion,Channelintion,Lighting) ❑ ❑ ❑ Wastewater ❑ ❑ Sanilmy Sewer Main(include basin name) Water (Mains,Valves,Hydrants) ❑ ❑ (Include composite&'Horizontal Cui Sheets) ❑ Suface Water ❑ ❑ Improvements (CIP ONLY)(include basin name) TS Use Only -ITe n -zz(D - a l a ra j- 2��3' X��/1 P - c-�7- rY-r`-�?'r� lfl - a2-9- � � �t� - 50 - 6-4 Approved by TSM Date: H:rorrnVutility/92-090.DOC/CD/bh - FOR DISTRIBUTION TO: RA Water Utility ® Building Division Wastewater Utility ® Public Works Constr Inspector Surface Water Utility ® Fire Prevention Maintenance Services DO Transportation Systems Project: �✓Yl i�� Location: Attached please find copies of PERMIT BILLS OF SALE RECEIPT COST DATA INVENTORY 01 LETTER OF SPECIAL BILLING EASEMENT(S) IN STUB SERVICE AGREEMENT COPY OF AS-BUILT ON PRECON NOTES 6/PRECON ATTENDEES WJ DRAINAGE REPORT MEMO-WATER BREAKDOWN MAP WITH NEW MAINS AND VALVES ® OTHER From: Date: C:TB:PMCONDISTF