HomeMy WebLinkAboutSWP272246 �j Short Plat (SHPL# )
REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date WO# ���j_7'JJ Green#
From: Plan Review/Project Manager _ fd Yk \1 L /7-T/L/C-C
Project Name 7644E f?,e(�/�/�'�C �� y Z
(70 characters max)
Description of Project: lt'A�_fi-p l/ t i / ,� ��7�'2/G/ l7 2A/ai A F� !e'qD wfF
Circle Size of Waterline: yi) 8" 101, 12" Circle One: New or Extension
Circle Size of Sewerline: 08- 10" 12" Circle One: New or Extension
Circle Size of Stormline:51 12" 15" 18" 024- Circle One: New or Extension
Address or Street Name(s) �, ,��� L V Or _ rL)t PI ,vim 7-4 p�
Dvlpr/Contractor/Owner/Cnslt:: K)n,e_;7-1 c_l 4 e_n P�� P� ,iE=c
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
✓ ✓
Trans-Storm �� ap(ict 150C)0 ❑
(Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets)
ATransportation (Signalization,Channelization,lighting)
Pr Wastewater ❑
Sanitary Sewer Main(include basin name)
Water (Mains,Valves,Hydrants) ❑
(Include composite&Horizontal Ctd Sheets)
J1 Suface Water Cl ❑
` Improvements (CIP ONLY)(indnde basin name)
TS Use Only 7�5 R°2M�X_ —
7-IR0-40- � q G !- CMG
2 - a Ll b1- a-3-
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Approved by TSM Date: