HomeMy WebLinkAboutSWP272231(1) / L 1 Short Plat (SHPL It )
V� REQUEST FOR PROJECT If Prelim.Plat (PP# )
CAG It )
To: Technical Services Date / -Z - 7� WO# 677 7 7 Green#
From: Plan Review/Project Manager PAV L L ym 66< J
Project Name 59yA/Q MAZ'Vti /11J710 /2E(4L&Q'&P
(70 characters max) p
Description of Project: L4/T/ }�C�J<Q �/ O� /( Z-cN /{v� QE/�(�i� 5# /QV/Ligoy(5-
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F/4VLI?A+6<7s CZ ) S�wl 5rvaizm (aa_S-V), fgltN 6 ,'.D
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: CE) 10" 12" Circle One: ew or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) S1 S 4,CA/, j9 nn N .V141/
Dvlpr/Contractor/Owner/Cnslt:: 50VAr-4 /1AAW4
(70 characters mu)
50 v ' O&ag,A/ it AQtit 411cN. — w40/0 LN6/NAi6A16-
1
Check each discipline involved in Project Ltr Drwg It of sheets per discipline
tK Trans-Storm (s7n(M-PAvi�67 \ B !' eu[r ❑ $f{E TS
(Roadway/Drainage) (Oft site impmveruenu)(include basin name) (include TESC sheets)
❑ Transportation (Signalimtion.Channclintion.lighting) ❑ ❑
Wastewater Dayn�ytj Sff ty� &iv70N AAOI+SI*AL ) ❑ -5 Sf l
Sanitary Sewer M n(include basin name)
Water (Mains.Valves,Hydrants) ❑ ,x
(Include composite&Horiwnlal Cut Shocts)
❑ Suface Water ❑ ❑
Impr6vements (C[P NLY)(include basin name)
TS Use Only
Approved by TSM Date:
H:fonm/utility/92-090.DOC/CD/bh