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CONVENTIONAL IN-GROUND P®WTS DESIGN <br /> Residential Application <br /> Rndex and Title Page <br /> p � <br /> O vner's Nane: AAJ <br /> vv er's Address: S y 6 G►^AN6��r ,�r��r�s �r �o� <br /> SkUL La k4 Sy 71 <br /> w-,— <br /> Site A dda ess: -5-,4/-"-e— <br /> Legal Description: ,Qc.,/ itl <br /> r <br /> Mil: Ile <br /> �0;M y: BUP.N TT <br /> Sabd1vis,o:-dCSM: Lot No. Block No. <br /> 'T 07 019' 2 a a-R ooa ©Ilood <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 /> =a-.n6er Name: WADE RUFSHOLM Credential No. 227691 <br /> Fhwmiber Address: P.C. Box 514, Siren, W1 54872 <br /> �,e?epbone: 7 P 5-34r9-7286 <br /> Signature: W R O' <br /> Date: oa� � <br />