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2020/04/27 - SANITARY - SAN - Repl Non-Press - SAN-20-45
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2020/04/27 - SANITARY - SAN - Repl Non-Press - SAN-20-45
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Entry Properties
Last modified
4/29/2020 12:46:28 PM
Creation date
4/29/2020 12:43:35 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/27/2020
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-20-45
State Permit Number
623702
Tax ID
5387
Pin Number
07-012-2-40-15-18-5 05-014-012000
Legacy Pin
012421802905
Municipality
TOWN OF JACKSON
Owner Name
DUANE & KAY SELLMAN REV LIVING TRUST
Property Address
28584 COUNTY RD T
City
WEBSTER
State
WI
Zip
54893
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PAGE 1 OF 4 <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 /> Pg 1 of 4 Index& Cover Sheet <br /> Pg 2 of 4 Plot Plan <br /> Pg 3 of 4 Dispersal Area Cross-Section & Plan View <br /> Pg 4 of 4 Management Plan <br /> Attachments: Enclosures: <br /> -rgMc 5Fr POWTS Application for Review <br /> Fr Lr . c.s Soil Evaluation Report& Site Map <br /> Otto-K. 4/ SPS <br /> Project Name I Description <br /> Owner Name(s):b/kW& e, KAY 57-ELLAnA A Phone: I(z-5-qq 44/0 <br /> Owner Address: Z4355 E.SOuiKE BW 1:" . rDRE51 LM , AAI\l Zip: ,5:602 <br /> Project Address: 2' V e: 4o ,T- <br /> Govt. Lot: _ 1/4 of 1/4, Section /i , T `/ v N-R /' E Dor Mg <br /> Township: -- 1ACJ SO.4) County: )3liAiiv -rr <br /> Project Parcel ID#: 0 7-or Zis-/ 5 cs 0/4 of zot D <br /> Designer Information <br /> Designer Name: 'ow, „.1 MkfiPi2T Phone: 715 -44 - 17-7,•-.5- <br /> Designer Address: 2 -I ell KMMJ6 MT I&R S Cf., am guey1 wi Zip: 5'J <br /> E-mail: hoilisfaclestIn 6 ou+(aoK. dom This s..<; `'" ' " . _ . <br /> License Number 18561-a0 7 = •,� 4'y, <br /> Remarks: tai„ MARY JO ': *it <br /> MUPPCRT 't <br /> A 1iii9 <br /> �R Finis,,• <br /> W4--20 r�ifshllwill <br /> N#1 * <br />
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