Laserfiche WebLink
C•NVENTI NAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> �� Index and Title Page <br /> E Owner's Name: r,cl//< 5 0,i) C on9i!1 er G/.4 / <br /> Owner's Address: Q or C/5 <br /> (, e. L57e-r iJ sy9y3 <br /> Site Address: N 701 5$ G1 <br /> Legal Description: i0c-/ -5"E-it) t.J 5 t 3y,14/%c.-e/ <br /> Town: 2.1)onJ <br /> County: BURNETT <br /> Subdivision/CSM: Lot No. — Block No. <br /> PIN: 07 0/ —2 39/C o9.2 c 4/ o ad o/%o <br /> Page Index <br /> Page i 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: (/( e <br /> Date: dZo2- <br />