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2021/06/02 - SANITARY - SAN - New Non-Press - SAN-21-144
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2021/06/02 - SANITARY - SAN - New Non-Press - SAN-21-144
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Last modified
10/12/2021 12:01:18 PM
Creation date
9/28/2021 1:19:43 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/2/2021
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-21-144
State Permit Number
635181
Tax ID
8348
Pin Number
07-012-2-40-15-22-5 15-705-048000
Legacy Pin
012962504800
Municipality
TOWN OF JACKSON
Owner Name
ANTHONY L HAAS
Property Address
4381 SKYLIGHT TER
City
WEBSTER
State
WI
Zip
54893
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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 1 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 /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): ! QCZ S Phone: <br /> Owner Address: ��' S I r1 Zi S 6Z, <br /> Project Address: , ✓QC�? („�o �� �5 j <br /> Govt. Lot: 1/4 of 1/4, Section ZZ , TAN-R E❑or WET <br /> Township: �� County: d e <br /> Project Parcel lD #: <br /> �6 <br /> Designer Information <br /> Designer Name: J Pho e: 91 - 2,91-k9i�6 <br /> Designer Address: �i'..�?/; alQc,� &e� Zip: S2/5 p,? <br /> E-mail: This space reserved foc approval sla11)[1. <br /> License Number: <br /> Remarks: <br /> Signature: Date: <br /> m,0 signature required on each submitted copy. <br />
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