HomeMy WebLinkAboutSWP272064 Short Plat (SHPL # )
REQUEST FOR PROJECT# Prelim. Plat (PP# )
CAG#
To: Technical Services Date L1 I—9 Z WO# 97031 Greenfl
From: Plan Review/Project Manager
Project Name Ot /NG 5 LD (� �U —S 2 , %14 /
(70 characters max)
Description of Project:/ P/1rIlk«1 3G 2X�rfiih� Z SbOo %��� o Z f 3
-'14r �!�
h z w D z I lG — t,( u
GOnner� 4c, �X/r�ihr 6!� w4 � SPp,rr.t �r
Circle Size of Waterline: 8" 10" 12" JVA Circle One: New or Extension
Circle Size of Sewerlme: 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) Pa r k_ A-V C , N, i(� �) �� A)_S 2
Dvlpr/Contractor/Owner/Cnslt: All � I CD✓tl�j� rT��� 6 4E/NG
(70 characters max)
Check each discipline involved in Project Ltr Drwg # of sheets per discipline
Trans-Storm E.yf G, kc U/4✓�. D B _ _� ��rc
(Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelization,Lighting)
❑ Wastewater
(Sanitary Sewer Main)(include basin name)
❑ Water (Mains,Valves,Hydrants)
(Include composite&Horizontal Ctrl Sheets)
TS Use Only �-
Approved by TSM Date:
forms/misc/92-090.DOC/CD/bh