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2019/01/16 - SANITARY - SAN - New Non-Press - SAN-18-103
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2019/01/16 - SANITARY - SAN - New Non-Press - SAN-18-103
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Entry Properties
Last modified
3/5/2020 10:41:44 PM
Creation date
1/16/2019 12:21:48 PM
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-18-103
State Permit Number
609301
Tax ID
7336
Pin Number
07-012-2-40-15-13-5 15-255-011000
Legacy Pin
012932501100
Municipality
TOWN OF JACKSON
Owner Name
RICHARD M & GERALDINE L HENDRIKSON TRUST
Property Address
28688 GREAT BEAR TRCE
City
DANBURY
State
WI
Zip
54830
Previous Owners
RICHARD M & GERALDINE L HENDRIKSON TRUST
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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.01101, R. 10112) <br />Pg 1 of 4 <br />Index & Cover Sheet <br />Pg 2 of 4 <br />Plot Plan <br />Pg 3 of 4 <br />Dispersal Area Cross -Section &Plan View <br />Pg 4 of 4 <br />Management Plan <br />Attachments: <br />Enclosures: <br />FYXVJ secs <br />POWTS Application for Review <br />FILTEK SpcC's <br />Soil Evaluation Report & Site Map <br />AN <br />Project Name l Description <br />Owner Name(s): iCNA <br />N lh sT. <br />Owner Address: 93 Z 63S - _Zip: 7 <br />Project Address: ?y&3 s �FZF_4T <br />Govt. Lot: -- 1/4 of `x!1/4, Section 15 , T If N -R /- 1 E ❑ or W, <br />Township: 7Ae,K _5w N County: t5a- Z_C TT <br />Project Parcel ID #: 07— NZ --z <br />Designer Information <br />Designer Name: J0 AF V -fl WYOZI Phone: <br />Designer Address: Z�yq'1 KtA1&AKTHWc5 <br />E -mall: ko(i,'sfercle_stgn ou+lr�oK. e0+� <br />License Number. 109 - DO' <br />Remarks: <br />Zip: 5�►8 <br />........ . <br />This sPWA o'- t #i stamp. <br />Signature: " <br />Date: <br />reM&W suberdlted . <br />MARY io ' <br />HUppeRT <br />16$9 <br />\Iriaverf FAILS,: <br />W1 a <br />eRR�a�araaaa•�' \\\ <br />
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