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2019/01/16 - SANITARY - SAN - Repl Non-Press - SAN-18-123
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2019/01/16 - SANITARY - SAN - Repl Non-Press - SAN-18-123
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Entry Properties
Last modified
3/6/2020 2:01:11 PM
Creation date
1/16/2019 10:40:35 AM
Metadata
Fields
Template:
Property Files v2
Document Date
1/16/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-18-123
State Permit Number
609321
Tax ID
22782
Pin Number
07-032-2-41-15-27-5 15-476-049000
Legacy Pin
032923004900
Municipality
TOWN OF SWISS
Owner Name
KIKI GEORGIOS TIROKOMOS
Property Address
30088 SHAW DR
City
DANBURY
State
WI
Zip
54830
Previous Owners
KIKI GEORGIOS TIROKOMOS
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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 />PROPERTY OWNER (S) s 7Ir0 S <br />PROJECT NAME <br />PROJECT LOCATION= 300 88 S6'a'✓ Dr <br />Street Address <br />A "7 4iA/ J s -a. <br />CONTENTS PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />PAGE <br />NAME: Richard Hopkins <br />1/4'/4 , Section, Town, Range (for POWTS submittals) <br />r,.✓iS T <br />Municipality <br />County <br />1: 56 ( r ",6s r -I( <br />2: / 1 <br />I <br />3:_ <br />4: <br />5: 6'� <br />7:_ l/Y1 A h GTY in <br />8: <br />9:_ 2 X(S <br />10: <br />11: <br />12: <br />13: <br />14: <br />15: <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks <br />SBD- 10855-P (N. 03/07; R 01/12) <br />Mound <br />SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys <br />SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys <br />SBD- 10706-P (N.01/01; R. 10/12) <br />SIGNED: /_a_� Z/_ <br />DATED: <br />
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