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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: KVider4 <br /> Owner's Address: -5 �=� 7 <br /> Site Address: a 94 P,4rc l qrt) Il <br /> Legal Description: S•6 y 0 lig 14 u.> <br /> Town: c)AkrA-A)°P <br /> County: BURNETT <br /> Subdivision/CSM:p/A1 o F Kiver_5/de. Hem e5 Lot No. I g Block No. <br /> Pam: 0 7 0,20 .2 *A 06 5 /.5 646 O 8'ovc <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: I ) t* '--- <br /> Date: <br />