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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title page <br /> Owner's name: &IVO U ge, <br /> Owner's address: 278Z r 7r`rPiAy/iq <br /> 141e4 6reuv .v. 57811 <br /> Site Address: ?j/55? tci`G11 - ' <br /> Legal Description: Alf. SF let/2. 71•014/,.i 4//LJ <br /> Town: <br /> County: A/Neif <br /> Subdivision Name: Lot No. Block No. <br /> Parcel Identrtication Number: 07-032-2-11//(,-/ -4/ 0/-AX -Q111dp <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: J`t ,+C l0/4Agdfr Credential No. (9579 1-/ <br /> Plumbe ddress: t 5 /Avi e'i 1 .Wei <br /> elv ier ti /b ) <br /> Signature: <br /> Date: 6-/--23 Phone No. 76—=�6G c2 C2Z <br /> Designed Pursuant to the: <br /> In-ground Soil Absorption Manual for POINTS Version 2.0'SBD-10705-P(N.01/01;R. I 0/12) <br /> Page I of_ <br />