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2019/01/16 - SANITARY - SAN - New HT - SAN-17-150
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2019/01/16 - SANITARY - SAN - New HT - SAN-17-150
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Last modified
3/5/2020 11:16:28 PM
Creation date
1/16/2019 9:34:36 AM
Metadata
Fields
Template:
Property Files v2
Document Date
1/16/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New HT
County Permit Number
SAN-17-150
State Permit Number
594597
Tax ID
10257
Pin Number
07-014-2-38-15-04-5 15-685-016000
Legacy Pin
014906001600
Municipality
TOWN OF LAFOLLETTE
Owner Name
BRETT H & KELLY F SCHULTZ
Property Address
24754 SAND LAKE SHORES TRL
City
WEBSTER
State
WI
Zip
54893
Previous Owners
BRETT H & KELLY F SCHULTZ
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Hopkins Sand and Gravel <br />27760 State Rd 35 Webster WI 54893 <br />Phone (715) 866-4157 <br />Fax (715) 866-8104 <br />INDEX SHEET <br />NAME: Richard Hopkins SIGNED: <br />DATED: <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks SBD- 10855-P (N. 03/07; R 01/12) <br />Mound SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys SBD- 10706-P (N.01/01; R. 10/12) <br />PROPERTY OWNER (S) <br />_ <br />'3'^a't-t <br />PROJECT NAME = <br />.Sr" vh e <br />PROJECT LOCATION= <br />J If 7-5"Y S� n aC G /c S6i o.'e f lel <br />Street Address <br />C/ 38N �sw <br />1/41/4 , Section, Town, Range (for POWTS submittals) <br />Municipality <br />/3a ev? .e,/ <br />County <br />RIO -t <br />CONTENTS PAGE <br />1: <br />PAGE <br />2: <br />/e G r n ss ,S r e• <br />PAGE <br />3: <br />f <br />PAGE <br />4: <br />PAGE <br />5: <br />PAGE <br />6: <br />PAGE <br />7: <br />PAGE <br />8: <br />PAGE <br />9: <br />PAGE <br />10: <br />PAGE <br />11: <br />PAGE <br />12: <br />PAGE <br />13: <br />PAGE <br />14: <br />PAGE <br />15: <br />NAME: Richard Hopkins SIGNED: <br />DATED: <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks SBD- 10855-P (N. 03/07; R 01/12) <br />Mound SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys SBD- 10706-P (N.01/01; R. 10/12) <br />
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