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2023/09/07 - SANITARY - SAN - Repl Non-Press - SAN-23-178
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2023/09/07 - SANITARY - SAN - Repl Non-Press - SAN-23-178
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Last modified
1/13/2025 10:00:44 AM
Creation date
1/13/2025 9:39:41 AM
Metadata
Fields
Template:
Property Files v2
Document Date
9/7/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-23-178
State Permit Number
654864
Tax ID
6107
Pin Number
07-012-2-40-15-36-5 05-001-028000
Legacy Pin
012423605400
Municipality
TOWN OF JACKSON
Owner Name
MARK D & DIANE P SELBY
Property Address
3572 S PENINSULA RD
City
WEBSTER
State
WI
Zip
54893
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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: Inter k <br /> Owner's Address: Z;Zv2 <br /> Site Address: <br /> Legal Description: <br /> Town: <br /> County: BURNETT <br /> Sub�on/CSM: V/ D/,Z' Lot No. Block No. <br /> PIN: 0 7 01.2 a? yo 15-.36 S"o S o oC oa96 00 <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 Dose Chamber Cross Section(with ST & filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 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: GfJ <br /> Date: 3 <br />
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