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CSNVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> /� Index and Title Page <br /> Owner's Name: ,U e €_,,r/7 J A itvso,j <br /> Owner's Address: .30p /4(/A-11 /17:/ : �� <br /> /If N/1)2 orrJ <br /> I ///A), -5—.5"..7e3 <br /> Site Address: .2 7- Y8' 7 c,i,/0545/U f%4y <br /> Legal Description: All l G,L. .Z 1-3 jv�,'u c' S 3‘ 1-Vd I C <br /> Tow : . c <br /> County: I URNETT <br /> Simon/CSM: iff-2 / d Lot No. /2 Block No. <br /> PIN: p 7 a/, `fid / S 36 S` as'cco3 ":, Y ' ) <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 RU FS OLM Credential No. 227691 <br /> Plumber Address: P.O. :ox 514, Siren, WI 54872 <br /> Telephone: 715-349-7286 <br /> Signature: <br /> Date: .171 ..7!) <br />