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2019/08/05 - SANITARY - SAN - Repl Non-Press - SAN-19-135
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2019/08/05 - SANITARY - SAN - Repl Non-Press - SAN-19-135
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Last modified
10/8/2021 3:00:55 PM
Creation date
8/27/2019 3:36:08 PM
Metadata
Fields
Template:
Property Files v2
Document Date
8/5/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-19-135
State Permit Number
614974
Tax ID
25015
Pin Number
07-036-2-40-17-24-5 05-006-026000
Legacy Pin
036442401700
Municipality
TOWN OF UNION
Owner Name
FREDERICK & MICHELE PEDERSON
Property Address
28300 E BASS LAKE RD
City
DANBURY
State
WI
Zip
54830
Previous Owners
FREDERICK & MICHELE PEDERSON
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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> WITH DOSE CHAMBER <br /> Residential Application <br /> Index and Title Page <br /> 10 Owner's Name: �/'�d I leol e-r'So <br /> Owner's Address: _-2936� 45- &4SS "OU <br /> A ,4624s-6ee r-tJr 9�?3 v <br /> Site Address: m _ <br /> Legal Description: S' t�/ 7 '`/p A J IP/7 <br /> c <br /> Town: 611V ICAJ <br /> County: BURNETT !/ <br /> SubdivisiuniesM: y/6 6 tl Lot No. Block No. <br /> PIN: D 7 o36 a? yo /7 A-1 S7 o s oa 0,2 C Daa <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 Dose Chamber Cross Section(with ST & filter specs) <br /> Page 5 Pump Curve and Specs <br /> Page 6 Maintenance, Management and Contingency Plans <br /> Plumber Name: WADE RUFSHOLM Credential No.227691 <br /> Plumber Address: P.O. BOX 514, SIREN,WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature:e j, <br /> Date: -S/ 9 <br />
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