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� Yaei Cnllnl\
<br /> Vy. Industry Services Division Burnett
<br /> v)
<br /> x)
<br /> ` 1400E Washington Ave Nanhary Permit Numtxn un tti filled in Mca)
<br /> 'tom\Spsf Fi P.0. Box7
<br /> Madison,WI 5370707
<br /> -7162
<br /> Sanitary permit Application Statermn,a,l a>,I,n1"'
<br /> marcane van SPS la?.1('-).Na, Adm.CWa,ubm
<br /> or mr tn0eapproprine ens cam and 2410543
<br /> ,nyu;ral pinmi
<br /> prior senied, pert. Note:Applicadn loosou—nal on for sonPANTS are suhm;eM to RrojectAddress(if different than matling nations)
<br /> ,he Depnnment of surer.and Pror Anal servie, 28341 Kllkare Rd.
<br /> , with the Pmau'law.x liar l Am(n),Sot,.
<br /> 1. kmcnNm
<br /> licatioa Inlirnnation-Please Print.\II Inlirrnmtion
<br /> Propene 0-n',Name Parcel s
<br /> Michael D'Jock 07-0/I.7-'Itl z3-S aS-ref-q
<br /> Pmimn,nnner'a NhAd,Address I'nrvns I.urm;on
<br /> 28370 Kilkare Rd. PtL I,,, 1
<br /> Can.Sum /ip code Phone Numhr Y.. A, stttioa 23
<br /> Danbury WI 54830 Irinlemel
<br /> r40 h.. R15_Ba,Q
<br /> R. repe nr Hagding knee:an mat apple) Loth
<br /> I0, Ior2Iram11,Lodi;-Numhrnl 11.dronm, 3 NuMhv.don Nmue
<br /> BIocl,
<br /> ❑Puhlioc araercisl-Iksedh Ilse
<br /> D Che of
<br /> ❑Sone tinnal-D,,,ei lkc CSM Numhr DVdlagcnf
<br /> Cq In..n of Jackson
<br /> III. I ,a of Permit: (Cheeh odl, nae he,on lined. Complete Data H if applicable)
<br /> J101e S.'anDldert....near s„tan DInau-na/111dlne real.RapmcamentOnly Dother\sodii.-aennto r_d,rngs.eiemle.pdn)
<br /> nd Rcn •al Permit No,icon ❑Chanee of Plumha D Pam;,I mnsfcnn N,, List Pres iopus P—n Ntai and Date hsuN Ecpimtina Ossna ��89,� a-
<br /> I\'.'I\'mot PO\\"1'S Fs4mll:nm umcnVlles'ire: Chat,Is a 11 that lar h
<br /> D Nnn.Pressuroed In-Ground D Pressarirxd lo-(;nmttd "AtLmde ❑ \found>]a In ofsa;mble mil ❑ Mound oI`,anahlcsoil
<br /> D Holding lank Dthher,Do,.I Cnmperan1e,,ruin) ❑Pteneaunem Desire le\Plan)
<br /> Y.His cnal/rreatni Arca Information:
<br /> rkdgn Pion(end) I Ihnien Sail A,Iaduun Ranxgri Dispersal Area Regalred(sl) Dorerdal Area Proposed d) S,smm P:ksaNan
<br /> 450 .6 750 750 110.0
<br /> \'1.'1 enk Ind. CapacinTmal ..I Manufnaanr
<br /> Gallonsn fivllons Led,
<br /> $ex 1-1, Guunµlanlx
<br /> Nepn„Imot,Iart 1000 1600 1 Wieser x
<br /> foong`h"nl`. 600
<br /> \91.Heepnnsibilio Stateatent- Lthr nndrntinni.aeeume 11,i for it..Hato.of the PtlN'IS,hna nthedamohed PHn
<br /> Plum her'.Name Pr I, Piranha,,Sh,e MP/M1iPRN Nmnbrr 14oinra Phone Nisi
<br /> Rick Brown C - (�__� 231251 419-0739
<br /> Plurattd*,Addano(str,,LCd, leda./;p Code)
<br /> N4606 Greenfield Rd. Spooner WI 54801
<br /> VIII.Uortttn/Dl'ntrttnent I e Ori,
<br /> APPmvW ❑::::t"ad Pe Pv ua,e lswed la ng Asan S,rnd
<br /> 5 SO,ao 9
<br /> ❑u„rcr cn<n Rrav,n rnr Ilrnhl
<br /> IS.Condition ofApprocal/Rea,nne for DieapHrncal
<br /> SY57e7in I.uN77-Io,V � Di ft-Cti /c,,,pb,,ErW GWAi 13EFk�^ NA,�.nal
<br /> 6V4V-0Lt477w1 TDOC /tloLF SniKS /�EKAf/f , .✓E111 fA'fE lI,I\^-�{��{f'II1M
<br /> ,v1—ennr Phre plan,rnrmer—noaol od I,to mr(,aos um,n n NM.nobs ran s nz.a In -Vr�ry lJ
<br /> AUG S 2014
<br /> SRi)f39g(Rtl.;131 ,
<br /> BURNETT COUNTY
<br /> ZONING
<br />
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