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CONVENTIONAL IN-GROUND POWTS DESIGN <br /> Residential Application <br /> Index and Title Page <br /> Owner's Name: 8,4V' /10-6 4 I� <br /> Owner's Address: ,30/6 ,4 Oe.AJ TerrtG <br /> b ItAigoryw4 .�5'S3 c) <br /> Site Address: <br /> Legal Description: ,S 77 '4 Ai / <br /> Town: _5�6 <br /> County: BURNETT <br /> SubdivisionikSM: I"/'ir j Gre�/d ela: <br /> Lot No. y-75-Block No. <br /> PIN: o 7 p 287 ,, ya /414, 73-/5- 70/ 079oc0 <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: 715-349-7286 <br /> Signature: L <br /> Date: 5)-7-40 <br />