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2022/05/18 - SANITARY - SAN - Repl Non-Press - SAN-22-74
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2022/05/18 - SANITARY - SAN - Repl Non-Press - SAN-22-74
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Last modified
1/5/2023 4:07:54 PM
Creation date
1/5/2023 4:05:23 PM
Metadata
Fields
Template:
Property Files v2
Document Date
5/18/2022
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-22-74
State Permit Number
643467
Tax ID
28173
Pin Number
07-040-2-40-18-30-4 03-000-014000
Legacy Pin
040453002700
Municipality
TOWN OF WEST MARSHLAND
Owner Name
LARRY J & MARILYN K DAHLBERG
Property Address
27638 NORWAY POINT RD
City
GRANTSBURG
State
WI
Zip
54840
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PAGE 1 OF 4 <br /> In-Ground Gravity Plan <br /> Index & Cover Sheet <br /> Component Manual Design References: <br /> Version 2.0, SBD-10705-P (N.01/01, R. 10/12) <br /> Pg 1 of 4 Index & Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> POWTS Application for Review <br /> Soil Evaluation Report & Site Map <br /> Project Name / Description <br /> Owner Name(s): 1 airy UI ii / eCt� Phone: t/ A - <br /> Owner Address: I Y eke fa �c7(5 (dJ' /d'!-t/ Zip: Sett/ <br /> S� /e � p S <br /> Project Address: <br /> Govt. Lot: 5 in/" 1/4 of $ e 1/4, Section 30 , T yp N-R / & E nor W <br /> Township: kJ !/a I County: <br /> Project Parcel ID #: N©y S3 00?Z 00 . t°� ' 02(3/7$' <br /> Designer Information <br /> Ct/1'Designer Name: ✓.' Phone: —)/1 -y4U - <br /> Designer Address: / 7 17 brio-V( /PVCJ tiff Zip: ? r) <br /> E-mail: Wo/ACC& i o3e 6- <br /> ,+.4, c <br /> License Number: 10?$ 7f? <br /> Remarks: <br /> Signature: C1J-1 Date: 076-0 i2 <br /> Original signature required on each submitted copy. <br /> Reset Page <br />
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