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2019/01/16 - SANITARY - SAN - New Non-Press - SAN-18-114
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2019/01/16 - SANITARY - SAN - New Non-Press - SAN-18-114
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Last modified
3/5/2020 11:42:27 PM
Creation date
1/16/2019 11:41:27 AM
Metadata
Fields
Template:
Property Files v2
Document Date
1/16/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Non-Press
County Permit Number
SAN-18-114
State Permit Number
609312
Tax ID
9404
Pin Number
07-014-2-38-15-05-5 05-001-020140
Legacy Pin
014220502004
Municipality
TOWN OF LAFOLLETTE
Owner Name
SCOTT CONE TONYA CONE
Previous Owners
SCOTT CONE TONYA CONE
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Pg 1 of 4 <br />Pg2of4 <br />Pg3of4 <br />Pg4of4 <br />Attachments: <br />PAGE 1 OF 4 <br />In -Ground Gravity Plan <br />Index & Cover Sheet <br />Component Manual Design References: <br />Version 2.0, SBD -10705-P (N.01/01, R. 10/12) <br />Index & Cover Sheet <br />Plot Plan <br />Dispersal Area Cross -Section & Plan View <br />Management Plan <br />POWTS Application for Review <br />Soil Evaluation Report & Site MaD <br />Project Name / Description <br />Owner Name(s): Phone:%r-__T� <br />Owner Address: 2 7 % W -FeK Zilp <br />Project Address: <br />Govt. Lot: 1/4 of 1/4, Section_, TN -R E ❑ or WE] <br />Township: !fit / c County: <br />Project Parcel ID #: Q 7()1 <br />Designer Information <br />Designer Name: 6114 Y,5_5_CCX Phone: �-�- <br />Designer Address:. V700 Q ( 4, , Zp 6_�%Fas? <br />E-mail: G1 h s space reserved for approval stanip�. <br />License umber: `1��J� �� <br />Remarks: <br />Signature:24 Date: <br />Original sign ture req ' ed on eac submitted copy. <br />
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