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2017/11/28 - SANITARY - SAN - New Non-Press - SAN-17-243
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2017/11/28 - SANITARY - SAN - New Non-Press - SAN-17-243
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Last modified
3/6/2020 12:07:05 AM
Creation date
11/28/2017 11:06:58 AM
Metadata
Fields
Template:
Property Files v2
Document Date
11/28/2017
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-17-243
State Permit Number
602689
Tax ID
10643
Pin Number
07-016-2-39-17-15-3 03-000-011000
Legacy Pin
016341502710
Municipality
TOWN OF LINCOLN
Owner Name
CORY JACKSON JESSICA SCHMIDT-JACKSON
Property Address
9306 BLACK BROOK RD
City
WEBSTER
State
WI
Zip
54893
Previous Owners
CORY JACKSON JESSICA SCHMIDT-JACKSON
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PAGE 1 OF 4 <br />In -Ground Gravity Plan <br />Index & Cover Sheet <br />Component U81X / t: MVn Refs moves: <br />Version 2.0, SBD -10705-P (N.01(01, R. 10(12) <br />Pg 1 of 4 index & Cover Sheet <br />Pg 2 of 4 Plot Plan <br />Pg 3 of 4 Dispersal Area Cross -Section & Plan View <br />Pg 4 of 4 Managernent Plan <br />Attachments: <br />Enclosures: <br />r(LK strjo <br />POWTS Application for Review <br />TMK_ 5me-5 <br />Sold Evaluation Report & She Ma <br />&Z FWW 5PW 5 <br />Project Name I Description <br />owner Nameo): —f�55 WA �A Phone: '715- - 5U-7-78& <br />OmerAddhow 930(o 8L -A dK BRooK R.D. l tJFf5sTT_K tip: <br />Project Address: _ (5AMe ) <br />Govt. Lot; 5W 1 /4 of 6W 1/4, Section J-'5-)7 , T 39' N -R _EMor W <br />Township: 14UVC0u1 County: BUX/UETT <br />Project psmW ID #: 07-0)(9-2-39-1-7-1-5--3 0,3--Do0--On 000 <br />Designer information <br />Designer Name: AfW I -flaeeCP-T Phone: ?)5 - 1-7751 <br />Designer address: ZK�i g 7 KEN& A THuR.:, CL DM RJAE� � Zip; <br />E-mail: h0l(►sfef leswri �)pi_A+1wK.eo= S120 <br />License Number: 1859 - a© 7 <br />Remake: <br />CA <br />ANARY <br />wppaFff <br />S <br />. -g 'lass 10.61 <br />AMR <br />4,` <br />' l rift <br />Signature: Date: L'''►•�ll-Zla, Z017 <br />sued War. <br />
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