HomeMy WebLinkAboutSWP272258(3) Short Plat (SHPL #
/f REQUEST FOR PROJECT# Prelim. Plat (PP# )
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To: Technical Services Date 4 2,6/L/y'7/,WO# 47 ,F 7 q Greenil
From: Plan Review/Project Manager
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Project Name ti Jqwc-o-� '
VU (70 characters max)
Description of Project: a c e, h p t✓L S . w f h �,,� h Y 0 a C I
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Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension rCle Sou�
o��Y 6 „
Circle Size of Stormline: 12' 15" 18" 24" Circle One: or Extension
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt:
(70 characters max)
Check each discipline involved in Project Ltr Drwg 9 of sheets per discipline
O Trans-Storm
(Roadway/Drainage) (Off sue improvcmentsxi ludo basin name) oZSi� (include TESC sheers)
O Transportation (SigrtalizatiogzertzStion,Lighting)
O Wastewater jq1�?"-fr Fi v — SC�,� / cle 6�.�<�y
(Sanitary Sewer Main)(include basin l C� B pq-i
O Water (Mains,Valves,Hydrants)
(include composite&Horizontal Ctrl sheets)
TS Use Only
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Approved by TSM Date:
Corms/misc/92-090.DOC/CD/bh
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FOR DISTRIBUTION TO:
Water Utility ® Bullding Dlylslon
i-rl(' Wastewater Utility ® Public Worl<s Constr Inspector
Surface Water Utility ® Fire Preventlon
MaintenanceServlees
��� f'ransportatlon Systems
rojecr: _ �!� 0 �
Luca(ion: 4
Attached please find copies of:
� g PERMIT ® BILLS OF SALE
RECEIPT ® COST DATA INVENTORY
LETTER OF SPECIAL BILLING ® EASEMENT(S)
STUB SERVICE AGREEMENT ® COPY OF AS-BUILT
PRECON NOTES
PRECON ATTENDEES � D�
DRAINAGE REPORT
r MEMO - WATER BREAKDOWN
MAP WITI•I NEW MAINS AND VALVES
OTHER
From.
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