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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and'Title Page <br /> Owner's Name: <br /> n <br /> Owner's Address: 3 `s (,�/�,S��e r� /`t (". <br /> Site Address: ;7 9 ���r � 1'/41d b,errs Z,Aj <br /> Legal Description: S 3 S`Ty/2)A/4 <br /> c <br /> Town: <br /> County: BURNETT <br /> Subdivision/ i 5 J y Lot No. Block No. <br /> PIN: 7 a3 5�/ /� :3S' /5 py9 <br /> Page Index <br /> Page 1 Index and Title <br /> Page 2 Plot Plan(may include septic tank and filter specs) <br /> Page 3 Distribution Cell(s) Cross Section <br /> Page 4 Maintenance,Management and Contingency Plans <br /> Plumber Name: WADE RUF'SHOLM Credential No. 227691 <br /> Plumber Address: P.O. Box 514, Siren, Wl 54872 <br /> Telephone: 715/-349-7286 <br /> Signature: <br /> Date: _ <br />