HomeMy WebLinkAboutSWP272171(18) Short Plat (SHPL N
REQUEST FOR PROJECT/! Prelim. Plat (PPtI )
- CAGs
To: Tcclinical Services Datc �U/�g .���/ WOW C,_5 I9 GrecnJ/
From: Plan Rcvicw rojcct Manager SCa-q— U 1 oOAQukh
Project Name f�nJ0 {M i F , l ur) iM Pik
(70 characws rtux)
Description of Project: y� ���)ECr F 37A-6LI rlY L/j-j��
L-V ' l(2U6U S tvII- Ado S UN GIT� PAP �Lan/G o2 AIFAkgy PRati(,gAooJc
6-96Fk, 7A,' ;� 1.✓Frc.�•��T (.�I E 12SI�q 7',5 oFfs.6�_ / p,otcTS re
�1J�4 i?h
WJ T L ,, J05 7-y,4,r vh^tl uc Cvk /-/i+E 37^-xf a-Al j AM Y4D.'.
Circle Size of Waterline: 8" 10" 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) S �." 71-- IQALC FJDAL,6 Sti
Dvlpr/Contractor/Owner/Cnslt PA(t ct t,I-�,r Ju(btitwtsss' k 11?t"L.I L Cau St✓�T� f
(70 characicn max)
�A rT SI0� U2Ei� �/v�/C t-✓�S 6�Sl�fp V�LL" 7u4 QASiM Sr2t+�dRooK CP'C'Q-
Check each discipline involved in Project Ltr Drwg H of sheets per discipline
❑ Trans-Storm
(Roadway/Drainage) (Odsitc improvcrncnts)(tndudc basin name) - — (include TESC sheets)
❑ Transportation (Sigsalizuioa,Channclization,Ughting)
❑ Wastewater
(Sanuary Scwcr Main)(include basin narnc) — —
❑ `Water (Mayo,Valvcc,Hydrants)
LAJA)F/t. V?11 (Include composite&Horizontal C ul Shccts)
TS Use Only
Approved by TSM Date:
orms/misc/92-090.1DOC/CD/bh