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POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: M S-Lkn <br /> Owner's Address: <br /> Site Address: 3o,01b-5 c_ <br /> Legal Description: <br /> Town: 1,515 <br /> County: A Wl/lu e�e <br /> Subdivision/CSM: Lot No. — Block No. <br /> Parcel ID #: y®oc)- 0/6/-006 <br /> Page Index <br /> Page 1 <br /> Page 2 <br /> Page 3 <br /> Page 4 <br /> Page 5 <br /> Page 6 <br /> Plumber Name: L��i �'� Credential NO. <br /> Plumber Address: o I^ C1C l CLLL 4 <br /> Ji <br /> i <br /> Signature: <br /> Q <br /> Date: Phone No.715-349-7286 <br /> Designed Pursuant to: <br /> In-ground Soil Absorption Manual for POWTS,Version 2.0 SBD-10705-P(N.01/01;R. 10/12) <br /> Pressure Distribution Component Manual,Version 2.0 SBD-10706-P(N.01/01;R. 10/12) <br /> Mound Component Manual Version,2.0 SBD-10691-P(N.01/01;R. 10/12) <br /> Holding Tank Component Manual Version,2.0 SBD-10855-P(. 03/07;R.01/12) <br />