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C GNVEN T HI O AIL IN-GROUND P®WTS DESIGN <br /> Residential Application <br /> Rndex and Title page <br /> .``'i?lner's 1'e[i4iZe: Y(��n'► %/ /—�I" e/���1�-..J f G LG <br /> Owner's Address: 39`�`� .5 70 <br /> Side b dd.ess: <br /> 25 E-7 0 /P&I mo- <br /> egal Description: Pe_11VW -/)E 533 <br /> ri v rFk: m Z, to 0 t <br /> I3U1ZNE t T <br /> 5!abdivision) g t2 le- C-e- Lot No. Block No. <br /> HT 07 0/9 a o <br /> Page Index <br /> Page i '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 /> ? tuber Name: WADE RUFSHOLM Credential No. 227691 <br /> µ`__m-ber Address: P.C. Box 514, Siren, WI 54872 <br /> e ephone: 7 R 5-34I9-7286 <br /> 3.9 nature: V✓ `�_ <br /> y aWe: <br />