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2022/10/12 - SANITARY - SAN - New Non-Press - SAN-22-180
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2022/10/12 - SANITARY - SAN - New Non-Press - SAN-22-180
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Last modified
2/13/2023 2:52:27 PM
Creation date
2/13/2023 2:50:29 PM
Metadata
Fields
Template:
Property Files v2
Document Date
10/12/2022
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-22-180
State Permit Number
646873
Tax ID
5555
Pin Number
07-012-2-40-15-24-1 04-000-012000
Legacy Pin
012422402900
Municipality
TOWN OF JACKSON
Owner Name
SEAEN MARIA KOSMIDES
Property Address
28379 DHEIN RD
City
WEBSTER
State
WI
Zip
54893
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- CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: <br /> Owner's address: 6ect eN rewqh <br /> 09 /3'`�'46 NE <br /> Site Address: /iriNN t`s NA! 6-5 4/1 <br /> Legal Description: 4 e Z4/ • T.�N+G/u izisw <br /> Town: VctGefjb ICJ <br /> Lounty: Ai(Nett <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identification Number: 07-O(Z-2'10--/5-Z'/ oil-bad- 0/2010 <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: 44. !{RAF Credential No. SsI? 47r <br /> Plumbs 4ddress: Og /AM/-=A1 2-k./&f <br /> w-e */er t 6-/b <br /> Signature: 1Z-,7�� ' <br /> Date: 6-1-ZZ Phone No. 7 O.2c7Z <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POINTS Version 2.0 SBD-10705-P(N.01/01;R. 10/12) <br /> Page I or— <br />
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