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CONVENTIONAL IN-GROUND Pi+WTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 0/2 C, <br /> Owner's Address: I' to 5g/ <br /> 55ren, W , V,k7,A <br /> Site Address: '4Ig'/ J(1//DLdl ,3f <br /> Legal Description: £2 o3 /Thy)/7<1 .Q(}e `�, � G �� p/2 <br /> 5 7-� /c� 2/Lv <br /> Town: ee/21%) <br /> County: BURNETT <br /> Subdivision/CSM: /22Dhd t3j4t''J gg55w'S Lot No. Block No. <br /> PrN: 012-0/2 -6-3 5 /5-41743 -055DGO <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: / 7 3/, c7 .g <br />