Laserfiche WebLink
CONVENTI',NAL IN-GROUND POWTS DESIGN <br /> residential Application <br /> Index and Title Page <br /> r <br /> Owner's Name: Z.1)/ //4-t-r) eikh e <br /> Owner's Address: (23 Sfill-0,..9 e. Rai <br /> r jJ 3f 9 3 <br /> Site Address: (",7 V3-5-6 .5 44.) e_/05 d <br /> Legal Description: A)CO -Ai tc) /1 7:35"/UR / <br /> Town: IletA)pe.1 s <br /> County: BURNETT <br /> Subdivision/CSM: Lot No. — Block No.— <br /> PIN: 07 006 3Fi) oi Oa 000 01/OnD <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: cc-A-- <br /> Date: - -a23 <br />