Laserfiche WebLink
PAGE 1 OF 4 <br />Pg 1 of 4 <br />Pg2of4 <br />Pg3of4 <br />Pg4of4 <br />Attachments: <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 />Enclosures: <br />POWTS Application for Review <br />Soil Evaluation Report & Site Map <br />Project Name / Description <br />Owner Name(s): S_lu t L t b-r L C Phone: - - <br />Owner Address: 1`�o 30 k '0 WaTE 1;t31V W Ur Zip: Lf <br />Project Address: I 0 )_) t J� <br />Govt. Lot: W 1 /4 of Al L, 1 /4, Section I TAN-R_1_�_E ❑ or W <br />County: ?Tv �/��- <br />Township: <br />Project Parcel ID #: r0 CZ 0 <br />Designer Information <br />Designer Name: Dan Burch <br />Phone:715 -416 -1642 <br />Designer Address: N5921 Cty Hwy k Spooner WI Zip: 54801 <br />E-mail: burchplumbinginc@gmail.com <br />License Number: 253808 <br />Remarks: <br />Signature: Date: (� j <br />Original signature required on each submitted copy. <br />