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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and /Title Page <br /> Owner's Name: 1'eft-'r PC e-5 Ton �+ <br /> Owner's Address: �nn .3902 4 5 -Ae <br /> U knlbgry �1- SY830 — <br /> i <br /> Site Address: SAn7 g. <br /> Legal Description: P J G,L, ( S R1 rYo�)�e 15e,-) - <br /> Town: 0 Ael'igd <br /> County: BURNETT <br /> Sabdtui%0n/CSM: (/073 Q 913 Lot No. Block No. <br /> PIN: 07 oao 07 Yo /6 a/ S oS oo/ ois000 <br /> Pagclndex <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: WADE RUPSHOLM Credential No. 227691 <br /> Plumber Address: P.O. Box 514, Siren, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: <br />