Laserfiche WebLink
CONVEN k_ONAL IN-G s'®UN}r P WTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: L./Q-.)d -/- G�¢�i i•� <br /> Owner's Address: yo 335- &bumrmieIJI le) <br /> o3 <br /> Site Address: 77.7 OBE <br /> .5287 '/ 4) R /6J <br /> Legal <br /> Description: <br /> Town: .S 6c!/s5 <br /> County: BURNETT <br /> Sc4 Lc11 d/Sie.d /14 e5a S" Lot No. 6 i:;lock No. <br /> ?IN: 07 03a a 9/ /6 .28.s/S 7/6 d/food <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 /> —Tiber Address: P.O. Box 514, Siren, WI 54872 <br /> Telephone: 715-349-72861J / <br /> Signature: (�(/cei - <br /> D a-e: 3 - 7 -02y <br />