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RE--QUEST FOR PROJECT P Prelim. Plac (PP1! )
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To: Technical Services Date 8 Z- 9/4/ WQII 87O3 Grec,11
From: Plan Rcvlew/Project Manager Pig V IL L. tv/17 e4!::!5it7-
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Project Name 7/4 C v TlXI X�STi4 cx64"% 4,D1 TION
(70 characters max)
Description of Project: Q/1/- ,S/7� s7'�/eN/{ Oe/}I I g(p,L SLs
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Circle Size of Waterline: 8" 10" 12" Circle One: Ne%v or Extension
Circle Size of Sewerline: 8" l0" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 151, 181, 24" Circle One: Nety or Extension
Address or Street Name(s) Z o p j( / AJ I '6� � v,f� , s+
Dvlpr/Contractor/Owner/Cnslt. / fx4A .,k ZI. 7 40)Vk Al �i//V�
(70 charauas max)
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Check each discipline involved in Project Ltr Drwg >y of sheets per discipline
lR Trarts-Storin S7bltj Co�v c11►eN ��(� WAY. (,t/�,_
(Roadway/Drainage) (Off site tmprnvemcntsxtnelude basin narnc) (include TESC sheets)
❑ Transportation (Signatizatioq Ctwmlizatioq Lighting)
Wastewater
(Sanitary Sc—Main)(irtcludc buin narnc)
O Water (Mains,Valves,Hydrants)
(tncludc composite&Horizonul Ctri Shccts)
TS Use Only
Approved by TSM Date:
Corttu/misd92-090.DOC/CD/bh