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2017/05/01 - SANITARY - SAN - Repl Non-Press
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TOWN OF JACKSON
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5250
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2017/05/01 - SANITARY - SAN - Repl Non-Press
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Entry Properties
Last modified
10/6/2021 8:42:32 AM
Creation date
9/29/2017 4:28:46 AM
Metadata
Fields
Template:
Property Files v2
Document Date
5/1/2017
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
Tax ID
5250
Pin Number
07-012-2-40-15-13-5 05-001-023000
Legacy Pin
012421302500
Municipality
TOWN OF JACKSON
Owner Name
PATRICIA K KRIHA REVOCABLE TRUST DTD 0CT 8 2010
Property Address
28623 BRIDGE RD
City
DANBURY
State
WI
Zip
54830
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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 7 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> Tank specs POWTS Application for Review <br /> Filter specs Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> 3 bedroom septic <br /> Owner Name(s): PATRICIA K KRIHA Phone: - - <br /> Owner Address: 2844 GLENHURST AVE S ST LOUIS PARK MN Zip: 55416 <br /> Project Address: 28623 BRIDGE RD <br /> Govt. Lot: 1 1/4 of 1/4, Section 13 T 40 N-R 15 E❑or W❑✓ <br /> Township: Jackson County: Burnett <br /> Project Parcel ID#: 07-012-2-40-15-13-5 05-001-023000 <br /> Designer Information <br /> Designer Name: Luke Schmitz Phone: 715 -468 -2434 <br /> Designer Address: PO Box 160 Shell Lake WI Zip: 54871 <br /> E-mail: digupnorth@gmail.com Onis space reserved for approval stamp <br /> License Number: 884121 <br /> Remarks: <br /> Signature: Date: 4-28-17 <br /> Original signature requi on each ed copy. <br />
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