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2020/06/03 - SANITARY - SAN - Repl Non-Press - SAN-20-62
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2020/06/03 - SANITARY - SAN - Repl Non-Press - SAN-20-62
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Last modified
6/30/2020 2:05:02 PM
Creation date
6/30/2020 2:02:40 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/3/2020
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-20-62
State Permit Number
623719
Tax ID
19197
Pin Number
07-028-2-40-14-05-5 15-576-011000
Legacy Pin
028925001100
Municipality
TOWN OF SCOTT
Owner Name
JONATHAN M & KRISTINE K POLLOCK
Property Address
29262 PINE KNOLL LN
City
DANBURY
State
WI
Zip
54830
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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)= )oAy P°/r o C K <br /> PROJECT NAME= SO'" C <br /> PROJECT LOCATION= of 4 d 6A Agit fem c 11 Cakre <br /> Street Address <br /> '/4 ,Section,Town,Range(for POWTS submittals) <br /> .5-c 61- <br /> Municipality <br /> BeAryrfif <br /> County <br /> CONTENTS PAGE 1: 50;1 /Z4Ase <br /> I, <br /> PAGE 2: <br /> PAGE 3: Pie 7` /3/4 h <br /> /1 ti <br /> PAGE 4: <br /> PAGE 5: C"II Gre,Y1 <br /> PAGE 6: F (f-e✓ et <br /> PAGE 7: `H 4 H e i ti-t P/41^ <br /> PAGE 8: <br /> PAGE 9: <br /> PAGE 10: <br /> PAGE 11: <br /> PAGE 12: <br /> PAGE 13: <br /> PAGE 14: <br /> PAGE 15: <br /> NAME: Richard Hopkins SIGNED: 72e4L4- <br /> DATED: - D <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.01/01;R. 10/12) <br /> In-Ground Sys SBD- 10705-P(N.01/01;R. 10/12) <br /> Pressure Sys SBD- 10706-P(N.01/01;R. 10/12) <br />
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