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2005/05/10 - SANITARY - SAN - Other
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TOWN OF JACKSON
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5277
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2005/05/10 - SANITARY - SAN - Other
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Last modified
3/5/2020 9:18:25 PM
Creation date
9/28/2017 3:52:28 AM
Metadata
Fields
Template:
Property Files v2
Document Date
5/10/2005
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
5277
Pin Number
07-012-2-40-15-13-5 05-007-011000
Legacy Pin
012421305400
Municipality
TOWN OF JACKSON
Owner Name
VERLIN & NANCY BROWN JT REV TRUST DOUGLAS BROWN
Property Address
28520 KILKARE RD
City
DANBURY
State
WI
Zip
54830
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RICHARD HOPKINS Page 2 4/25/2005 <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Maintain well and waterline set backs per COMM 83.43(8)(1). <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/installation/operation. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this <br /> review shall relieve the designer of the responsibility for designing a safe building,structure,or component. <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. <br /> The above left addressee a 1 prov e a copy of this letter to the owner and any others who are responsible for the <br /> installation,operation maintenan of the POWTS. <br /> S' er Fee Required$ 60.00 . <br /> Fee Received$ 60.00 <br /> Balance Due $ 0.00 <br /> Patricia L orf <br /> POWTS Plan Reviewer, tegrate Services WiSMART code: 7633 <br /> (715)634-7810, Fax: (7 5)6 -5150,M-f 7:45 am-4:30 pm <br /> pshandorf@commerce.state.wi.us <br /> cc: Carl J Lippert,Wastewater Specialist,(715)634-3484 <br />
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