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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and TitlePage <br /> Owner's Name: 6 hr`e-lo 1+5 6`ec--l< <br /> Owner's Address: /, 0, /3 t>,�-/ <br /> Site Address: <br /> Legal Description: P C/ Aw .. /,-R ?-VIA1 if/Xct,J <br /> c <br /> Town: <br /> County: BURNETT <br /> Sn� CSM: V,2 o 3 Lot No. z�7, Block No. — <br /> PIN: C) 0 o cx� 6/��©6 <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 RUFSHOLM Credential No. 227691 <br /> Plumber Address: P.O. Box 514, Siren, WI 54872 <br /> Telephone: 715--34(9-7286 <br /> Signature: <br /> Date: <br />