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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: r6/j y Odle <br /> Owner's Address: 06 S7f? <br /> V <br /> e6o/90 <br /> Site Address: 02`' s_D7 GT1 ��7T <br /> Legal Description: R J G,L. q <br /> Town: 5 c o�` <br /> County: BURNETT <br /> Subdivision/CSM: Lot No. 7 Block No. <br /> PIN: L a aS go y a,2 ovoo <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 /> 6 Qr� <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: A-) <br /> Date: o? 3 /7 <br /> Designed Pursuant to the: <br /> in-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.0 1/0 1) <br />