HomeMy WebLinkAboutSWP272257(3) r� Short Plat (SHPL# )
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REQUEST FOR PROJECT# � )
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To: Technical Services Date — — q WO# �7:7 13 Green#
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From: Plan Review/Project Manager 'q k=l j TT P—J c
Project Name -Dwj 0 x) S U 01JE-/'14 � '
(70 characters max)
Description of Project: S U h 4:--X re/US 1i9 A I -c*
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Circle Size of Waterline: 8" 101, 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) A;bm p Lib R-t) L L c�- Q 67 O S T
Dvlpr/Contractor/Owner/Cnslt:: 13&7(2 ,,4e 7 (2 '—.D�q p� 2CST T)21 -
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
✓ ✓
L�- Trans-Storm ❑ ❑
(Roadway/Drainage) (Off site improvements)(include basin name) (include TESC sheets)
L7 Transportation (Signalization,Channelization,lighting) ❑ 3,� 2
Cl Wastewater ❑
Sanitary Sewer Main(include basin name)
Water (Mains,valves,Hydrants) ❑ ❑
(Include composite&Horizontal Ctrl Sheets)
❑ Suface Water ❑ ❑
Improvements (CIP ONLY)(include basin name)
TS Use Only f�b j�U .� �— �o, J7
TP
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Approved by TSM
Date:
H•fnr -hitility/92-MO r)OC/CD/hh