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CONVENTIONAL 1[N-GR4 UN Jr- P WTS DESIGN <br /> Residential Application <br /> // Ilndex and Title Page <br /> Ov.iner'sName: 8be_7L� l45c4/05 <br /> O ,r er'sAddress: /6a0/ Goof View Tr/ <br /> L ke 16//e. .nil 55s0 YV <br /> Site! ddd ess: 3 70 y ej e-I`s Re <br /> Legal Description: 10 ci G, L. 3 S / ryo,ti if tiJ <br /> Town: SR-c ks 0,3 <br /> County: B URNET T <br /> V/ /0 IV? Lot No. :lock No. <br /> T : 07 0/2- a yo /S O/ .So,$ 003 0/fd00 <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 /> "iv-lumber Name: WADE RUFSHOLM Credential No. 227691 <br /> 1:ember Address: P.O. Box 514, Siren,WI 54872 <br /> T.lablhone: 715-349-7286./ <br /> Signature: ill c e12 <br /> 1nate: 3-3/ -aC <br />