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2019/03/04 - SANITARY - SAN - Repl Non-Press - SAN-18-163
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2019/03/04 - SANITARY - SAN - Repl Non-Press - SAN-18-163
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Last modified
3/6/2020 5:52:45 AM
Creation date
3/4/2019 10:17:02 AM
Metadata
Fields
Template:
Property Files v2
Document Date
3/4/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-18-163
State Permit Number
609358
Tax ID
15686
Pin Number
07-024-2-39-14-08-1 02-000-012000
Legacy Pin
024310801210
Municipality
TOWN OF RUSK
Owner Name
THOMAS M & MARY B GAMBONI
Property Address
2673 GASLYN CREEK RD
City
WEBSTER
State
WI
Zip
54893
Previous Owners
THOMAS M & MARY B GAMBONI
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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) = 10 v- iYfit s" y c� 0 <br />PROJECT NAME _ .Sa in e✓ <br />PROJECT LOCATION= 7.3 GaS/yti Cr �� k <br />CONTENTS <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 />PAGE <br />NAME: Richard Hopkins <br />Street Address <br />S 39A✓ <br />'/4 '/4 , Section, Town, Range (for POWTS submittals) <br />J?usk <br />Municipality <br />Z?k ✓ tit C ?� <br />County <br />1::� * : I /Z�' ft7o.�i` <br />2: J/ <br />3: / Je r <br />4: <br />5:_ <br />6: A -S teenr•�T/�l<h <br />J/ JI <br />7: <br />8: <br />9: <br />10: <br />11: <br />12: <br />13: <br />14: <br />15: <br />SIGNED: <br />DATED: <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks <br />Mound <br />In -Ground Sys <br />Pressure Sys <br />SBD- 10855-P (N. 03/07; R 01/12) <br />SBD- 10691-P (N.01/01; R. 10/12) <br />SBD- 10705-P (N.01/01; R. 10/12) <br />SBD- 10706-P (N.01/01; R. 10/12) <br />
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