HomeMy WebLinkAboutSWP272079 Short Plat (SHPL # )
REQUEST FOR PROJECT# Prelim. Plat (PP#
CAG#
To: Technical Services Date WO# i5-7 Z 413 Green# 5 p5¢1
From: Plan Review/Project Manager �dp,t Kee,—e
Project Name toG I I.LLT FL)EL A v2 M
(70 characters max)
Description of Project: t_o t4.Tevo-rlo y of AtIl 4VI q T Ivy KZ(��l��r-t.Gi r`A-u t_t T Y
AT 12�rt Tor-[ Mutitt c t>/q L A(r;��T
Circle Size of Waterline: i 8 101, 12 Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 02- 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) �L141 M(iT z� rzd&t2
Dvlpr/Contractor/Owner/Cnslt:
(70 characters max)
Check each discipline involved in Project Ltr Drw #
g of sheets per discipline
Trans-Stormp,g2
(Roadway/Drainage) (Off site improvemcntsXinclude basin name)
(include TESC sheets)
O Transportation (Sigtalizatiort,Channel ization,Lighting)
Wastewater til 6?-Tr 1 IQ2 si To rl 6 4� ,� 2
(Sanitary Sewer Main)(include basin name)
Water (Mains,Valves,Hydrants) V
(Include composite&Horizontal Ctrl Sheets)
TS Use Only %�,�- GJ D- c�o
(�(Q0- 14 ` c07`1
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Approved by TSM Date:
forms/misc/92-090.1DOC/CD/bh