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2023/11/13 - SANITARY - SAN - New Non-Press - SAN-23-241
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2023/11/13 - SANITARY - SAN - New Non-Press - SAN-23-241
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Last modified
1/9/2025 5:00:29 PM
Creation date
1/9/2025 4:03:52 PM
Metadata
Fields
Template:
Property Files v2
Document Date
11/13/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-23-241
State Permit Number
656830
Tax ID
6313
Pin Number
07-012-2-40-15-01-5 15-851-014000
Legacy Pin
012913001400
Municipality
TOWN OF JACKSON
Owner Name
JEREMY L BAARS
Property Address
3446 LOON LAKE RD
City
DANBURY
State
WI
Zip
54830
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Hopkins Sand and Gravel <br /> 27760 State Rd 35 Webster WI 54893 <br /> Phone(715)866-4157 <br /> Fax(715)866-8104 <br /> INDEX SHEET <br /> PROPERTY OWNER'(S)_ j-e-✓'-e-1 1 O a r 5 <br /> PROJECT NAME_ <br /> PROJECT LOCATION= `l�`7 L GG t� L/,- R'4 <br /> Street Address <br /> .I <br /> t/4 '/4,Section,Town,Range(for POWTS submittals) <br /> Municipality <br /> 13 CA <br /> County <br /> CONTENTS PAGE 1: <br /> PAGE 2: <br /> PAGE 3: Ploy PA l) <br /> PAGE 4: <br /> PAGE 5: <br /> PAGE 6: <br /> PAGE 7: 1 Gt It <br /> PAGE 8: <br /> PAGE 9: <br /> PAGE 10: <br /> PAGE 11: <br /> PAGE 12: <br /> PAGE 13: <br /> a <br /> PAGE 14: <br /> PAGE 15: <br /> NAME: Richard Hopkins SIGNED: <br /> DATED: <br /> CREDENTIAL NUMBER: 225851 <br /> COMP.MANUAL USED—Holding Tanks SBD- 10855-P . 03/07;R 01/12) <br /> Mound SBD-.106 - (N.01/01;R. 10/12) <br /> In-Ground Sys SBD- 705-P(N.01101; R. 10/12) <br /> Pressure Sys S - 10706-P(N.01/01,R. 10/12) <br />
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