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2019/08/05 - SANITARY - SAN - New Mound >24" - SAN-19-133
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2019/08/05 - SANITARY - SAN - New Mound >24" - SAN-19-133
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Last modified
10/8/2021 3:00:48 PM
Creation date
9/4/2019 10:44:51 AM
Metadata
Fields
Template:
Property Files v2
Document Date
8/5/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Mound >24"
County Permit Number
SAN-19-133
State Permit Number
614972
Tax ID
24239
Pin Number
07-034-2-37-18-32-4 04-000-022000
Legacy Pin
034153203700
Municipality
TOWN OF TRADE LAKE
Owner Name
ALBERT W & VIRGILEE M LEBRUN
Property Address
12446 N GABRIELSON LAKE RD
City
LUCK
State
WI
Zip
54853
Previous Owners
ALBERT W & VIRGILEE M LEBRUN
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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) 1 b-e✓'f Z e, Se rw$1 <br /> PROJECT NAME= f19 M-e <br /> PROJECT LOCATION= / 7 10 Al. LA <br /> Street Address <br /> 3 3V Igo✓ <br /> 1/4 1/4,Section,Town,Range(for POWTS submittals) <br /> %ride G� <br /> Municipality <br /> /3rnrn cH_ <br /> County <br /> CONTENTS PAGE 1: �o; 1 /��P'►"fi <br /> PAGE 2: <br /> it <br /> PAGE 3: 1 d tt- P/A h <br /> �� rr <br /> PAGE 4: <br /> PAGE 5: yy►ou�+o{ crd.sr. Scc. <br /> PAGE 6: L a-t L a p .0u.4 <br /> PAGE 7: ?'�"V-P C114dw:b•r <br /> PAGE 8: Pump L• +.t y it°. <br /> PAGE 9: /'i lie✓+ Spec <br /> r <br /> PAGE 10: C71�r y� re v► t7��a .! <br /> PAGE 11: t�'letHase+»�n�t �1ah <br /> iI �1 <br /> PAGE 12: <br /> PAGE 13: <br /> �1 ,r <br /> PAGE 14: <br /> PAGE 15: <br /> NAME: Richard Hopkins SIGNED: <br /> DATED: <br /> CREDENTIAL NUMBER: 225851 <br /> COMP.MANUAL USED—Holding Tanks SBD-10855-P(N.03/07;R 01/12) <br /> Mound SBD-10691-P(N.01101;R. 10/12) <br /> In-Ground Sys SBD- 10705-P(N.01/01;R. 10/12) <br /> Pressure Sys SBD- 10706-P(N.01101;R. 10/12) <br /> RECEIVED <br /> JUN 2 8 Z019 <br /> INDUSTRY SERVICES <br />
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