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1 <br /> I <br /> CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 8/-q,// G.A-r e�j <br /> Owner's Address: 3( 7o �� ys��, _ 4(4! .Ss/ <br /> J <br /> Site Address: e Zd• S L�, Q/• <br /> Legal Description: - .S s7"�/ /�/ r.J <br /> Town: S'�o <br /> County: BURNETT <br /> SUbdntst&rJCSM: V /y4 LotNo._z4_BlockNo._ <br /> PIN: ('1 7 C2 0 5 5 05 oas 01,-000 - -- <br /> Pagelndex <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 /> 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 />