HomeMy WebLinkAboutSWP272081 Short Plat (SHPL 4
REQUEST FOR PROJECT N Prelim. Plat (pPH )
CAGk
To: Technical Services Date _l2Z'7A7- WOH $7Z3 Green# '2720
From: Plan Review/Project Manager /0e1 a (I 5 4
Project Name Cvee.k s;df, f} a✓rw-mt
(70 duractemn max)
Description of Project: V 7 t(7f k 7wt Pyriye7ofr+I5 Ic3� bu l(�(r7eq GAYZ CO{�/�kX Z �
kt�cly t clx,Zr uwlte eouHe��7ors s� SClUfl1 CONHeeT-.r�N ,c,r� ou sic GlvatuaG {or /,7'7�7
''pl 7 yo%rrwr�i elude r7vu�¢ 5u�ale a� e�nT,e s s�e7v1
Circle Size of Waterline: 8" l0" 12"
Circle One: New or Extension
Circle Size of Sewerline: 8" l0" 12"
Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) 38D0 pjE 5utdse-t /jlvG<
Dvlpr/Contractor/Owner/Cnslt
(7o eharacws max)
&12 For / eer
Check each discipline involved in Project
—/ Ltr Drwg H of sheets per discipline
L3 Trans-Storm Hollf Circe k ) ✓ g
(Roadway/Drainage) (Offsi4 unprovemrntsxm ude basin name) _
(include 7FSC sheets)
Transportation (Sig/vrvalion,Crsannelvatioo,Lighting)
Wastewater /Jbdh l-(74)514Itd'S G3)
(Sanitary Sewer Main)(include basin name)
Water (Mains,Valves,Hydrants)
(Include enmp%it,&Horizontal Ctrl Sheers)
S Use Only
A) LA-) i - BSI S ay 81
wTR - a7 ' -
Gt� —
5cv� —
pproved by TSM
s/mis&92-090.DOC/CD/bh Date