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PLB, 68 DEPARTMENT OF HEALTH AND SOCIAL SERVICES <br /> Division M Health <br /> FEE $110.00 P.O.-M.w9 NO.- 2054.0 <br /> (1 Permit per T�aryc Madimn,Wscomin 53701 <br /> Date Issued /70 <br /> Tank Size 750 gal. STATE SEPTIC TANK PERMIT <br /> coPias: <br /> Private Res. X This permit is for purchase of septic tank only and does (wnitel-Property owner <br /> (Pinks-Tank Retailer <br /> not exempt installation from Must or local approval (Blue)Division of Health <br /> Public and/or permits. Iean.,I-al.ug Axel <br /> 0....s Nurse I Owner's Addren <br /> Orville Kobemusz 6540 6. River Was bpls., Mi: 55432 <br /> Location(Legal Dectipdon)of Property.Where Tank Will oc Installed County <br /> SE IN c=15 T40N RISW Jatksn 070 Fac Ridge-Voyager Village numett <br /> Plumber s Name License No. Address <br /> ibderick Hopkirm MPFSN 03059 Webster, W1 54893 <br /> Sipumrt of Peron Obtaining Permit Address 0 Met Than Ownv <br /> /1 <br /> iti •r`.• -.f� it.��s�•`.' Webster, 111 54893 <br /> Address of Iandng Agent(Town, Wispe,City) County <br /> Suter, FII 54893 Burnatt <br /> Title Siglat_m� / <br /> Zoning Administrator <br /> I <br />