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09/01/2005 12:30 3492166 B C ZONING PAGE 01 <br /> Wsconsin Depaitne, t of Industry, a <br /> Labor and Human Reletlons $( 7ransfer <br /> Y PERMIT County <br /> Renewal v�� Y <br /> Safety end BU1ldings Dhllsion 67_T) uniform 4W; Number <br /> Bureau of Building water Systems 472,Z& 6 <br /> ParsonaII s. 7504(Imm <br /> Pannk Renrawal Date Psrrlk Tr; Dale Original Permit a Dale State Plan ID Number <br /> 91? 105 <br /> Properly a Gov Lo i 3 Norm ❑Vllhge OCILY at. <br /> 114 1145 115 T 4-1 NR 15 W s'L�Dt55 <br /> Lot urMer r n rest Road,Lake or Landmark <br /> rj C.5m V003 pg 155-1 <br /> PREVIOUS SANITARY PERMIT HOLDER•IF CHANGED: SANITARY PERMIT TRANSFERRED TO: <br /> Name(per) Ignature Name(prim) Plane Number <br /> MIcI4AF,ck Afw 13P— AGI <br /> Address none Numosr-�l.,Kw�ovttl fess <br /> WW DAu.AS W • MfJ (03)S�-134 5 <br /> I,ere under-sWietl,q=Ww respottaibNhy for k+staeatlon Of OW PrWa6e sewage system that b"bssn preciously aPPrOved Por this property. <br /> Phanber m r Plumber Name(r dmwgeM <br /> Cl.arzeoce, GL�afFtu'rY <br /> PRxnber mae meerAWRW (,})t7yef IAV��. <br /> 141q 13T' Ate( P5A�0 �5" 1�4-Ct55 5oaav WILL RD W17 5 <br /> PWRSW umber one r r ne num <br /> r <br /> 221a5U4 )5(PTI-3 Z2p12 ( t5�i%b- 5P>�1 <br /> Issuing Agont signature Date Approved 1 <br /> 3801110-83"AL 04W) :On -Corarh. SPY- of BuR"Watm STS: SPT-fir: coir-plumber <br />