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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> n 1 Index and Title Page <br /> ,.( <br /> Owner's Name: /J Knl qd 5eS J <br /> Owner's Address: 11d o X�- ' Lam- <br /> plIrI,oulf(f�i <br /> p / ss� G <br /> Site Address: $ y ¢ A f 7�U <br /> Legal Description: S.2a T 90 til )Q / eJ <br /> Town: <br /> County: BURNETT�. J.{.. 1 /` / <br /> Subdivision/CSM: y�g/r/ &?1e1 A 0 I0 V✓ Lot No. Block No._ <br /> PIN: o7 o/_�t Vo / 5-6;�a -5-- 1-5- -7a-5'- 0/,20(DO <br /> Pagelndex <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 /> Plumber Name: WADERUPSHOLM Credential No. 227691 <br /> Plumber Address: P.O. Box 514, Siren, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: <br /> bJ <br />