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2014/11/05 - SANITARY - SAN - Other (3)
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17900
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2014/11/05 - SANITARY - SAN - Other (3)
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Last modified
3/6/2020 8:07:38 AM
Creation date
10/1/2017 8:10:25 PM
Metadata
Fields
Template:
Property Files v2
Document Date
11/5/2014
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
17900
Pin Number
07-028-2-40-14-11-5 05-002-016000
Legacy Pin
028411102600
Municipality
TOWN OF SCOTT
Owner Name
DALE W & JOYANNE G HAMILTON
Property Address
1787 GOLD STAR RD
City
DANBURY
State
WI
Zip
54830
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POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: <br /> i <br /> Owner's Address: 709./1 {—P(�/,rid ff✓e S <br /> GGl7%3y �CIjrot//L �.-tJ �So/6 <br /> Site Address: 7_47 <br /> Legal Description: 'DC— . 2 S /Cn <br /> Town: SG O <br /> County: <br /> Subdivision/CSM: Lot No. '— Block No. <br /> ParcellD #: <br /> Paeelndex <br /> Page 1 Jl,,e1l (� '� 7//k� <br /> Page 2 1014 <br /> Page3 <br /> Page /7/ 1/ ��i)?iit ' / i,'�'i it �?ntrKf l �e�r7�i�6,v) '[� P�'�Cw-! <br /> Page 5 / <br /> Page 6 <br /> Plumber Name: WADE RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O. BOX 513, SIIRR�E,NN,, WI 54872 <br /> Signature: <br /> Date: ,2 Phone No.715-349-7286 <br /> Designed Pursuant to: <br /> In-ground Soil Absorption Manual for POVITS,Version 2.0 SBD-10705-P(N.01/01; R. 10/12) <br /> Pressure Distribution Component Manual,Version 2.0 SBD-10706-P(N.01/01;R. 10/12) <br /> Mound Component Manual Version,2.0 SBD-10691-P(N.01/01; R. 10/12) <br /> Holding Tank Component Manual Version,2.0 SBD-10855-P(.03/07;R.01/12) <br />
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