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2017/04/24 - SANITARY - SAN - Repl Non-Press - SAN-17-34
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2017/04/24 - SANITARY - SAN - Repl Non-Press - SAN-17-34
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Last modified
10/6/2021 8:28:30 AM
Creation date
10/1/2017 7:32:38 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/24/2017
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-17-34
State Permit Number
594480
Tax ID
28085
Pin Number
07-040-2-39-19-33-4 01-000-011000
Legacy Pin
040363304200
Municipality
TOWN OF WEST MARSHLAND
Owner Name
LANCE D & PAULA A GREEN
Property Address
24919 GALESKY RD
City
GRANTSBURG
State
WI
Zip
54840
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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: )z6.9 r #ulole-i' <br /> Owner's Address: 41 9/ 67;/+/ e 5 k �,, AG <br /> ('rAny4Szu ry <br /> Site Address: E'— <br /> Legal Description: 4) _5 S 3 3 7' <br /> Town: 6), /77 12 <br /> County: BURNETT <br /> Subdivision/CSM: Lot No. _ Block No. "-- <br /> PIN: 7 cV6 3q > 9 33 o/ <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: /it/ a� <br /> Date: <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POWTS Version 2.0 SBD-10705-P(N.01/01) <br />
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