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CONVENTIIONAL IN-GROUNIP POWTS DESIGN. <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: ,Pft K k LC <br /> Owner's Address: /3 K20 R.e-ohd Oci_51- it) Z,--- <br /> /f/1)ccVe # /1) o <br /> Site Address: / 5— 5 2 41-d cJiJy.te. <br /> Legal Description: / 7 T 3 R 42 <br /> ( <br /> Town: 1)c)e.2d ir\rLJ (- <br /> County: BURNETT <br /> A 1I <br /> Subdivision/g&M: A, 0 c5c) I\ y e Lot No. / it lock No. / <br /> PIN: 07 2 3 ' / 7 6-7'3— FS"-e 0 fi(:)06 <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan(may include septic tank and filter specs) <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Maintenance,Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O. Box 514, Siren,WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: 3 - 3 - <br />