6170 Deer Ridger
CiTy OF CHINRASS
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SEWER, W;1':ZR OR (E� sz VTCZ FORM (CZ ONE)
Mun ic - I iz% CHANHASSEN Service No.
�CrrY PROs/ M. Sheet Nc-
—
Street t�-Pp Hcusa No.
Lot Block Par=el No.
Ad'diticn Deer R;j a,
.11 -
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DCWnqzrSaM Man' INC.
Downstream 1 1+40
Zlevazicn a C. L. ca Sewer main
--cr 'E-evazion Dept'- of Basement
De=z'- cf claan-Cut Clean-Out Zleva---
Di stan c e frym Sewer Ma-=o Clean-Out
I o f Grade -1cr Service to be Installed
f - _ - _- c=a- .e service)
Len size and type of service pipe 6 FV
De;zh at P.L. 1020-0
[:Zwnst=ea Ma
sta. at F.L. frc;= Manhole 1443
Length, siZe and type of service pipe
Deczh at 9?. S
MH
Dencr-as sewer service and cb
:_notes water service and
.2
Cu-t=actzr Foreman 6' reo
Tied by Date
Locat- and depth of services certified by
Date
NOTE: Scrvice ties shall be swing ties to p---.z=cnt structures such as building
corners, valve boxes, manholes, catch basins, hydrants, etc. Ties to trees,
power- poles, property corners, telephone or utiliry boxes will not be accepted.
CITY OF
REV4SFM 2-93
DATE 1 2-911
PLATE NO. 5221
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4