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Septic, LLC
N742180T"STREET (715)235-1666
KNAPP, WISCONSIN 54749 (715)665-2112
Date Nov, as '0040
Work Performed 3—:3 eC H64nj
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PAID TOTALCOST:$ c`o'•,
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❑ CHARGE Signature
Send Payments To: E5871 683i° Ave., Menomonie, WI 54751
Please pay within 10 days of recelpt.
7hankyou for choosingABICSeptic!
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St. Croix County
Non -Plumbing Sanitation Affidavit
no'she Is the owner oflhc following pncel of land lowed in St.
Crou County, Wisconsin, recordW in Volumei Page=
Document Nmnbeggys&ft Croix County Register offNuds Office
A pencel of hind located in pert of the }r/, of ase"'/, of Section
_y_, TJ_Q_ N—RfiW, Town of ,��SE Croser
County, Wisconsin, being duly described in bill sws (ralude Los sw.
aM subt ivlslon/ M or delaled legal descripnon): J
B 755202
Ix.4647MB
1122835
BETH MT
REGISTER OF DEEM
BE CROIX CO., WE
RECEIVED PIR RECORD
62101 01:36 M
EXIMPT
nsc FEE ]eno
929 Cry Rd D
1 VERB wllaseo EweOccopSnnofsmdawewrt mnnJnpoulof bum,
VERB. whu
at,huchSite utnewed Fya GnivumM1ng wannwl mcmopLenre wN lSoxiom 13 3 A 16 rtl 13 ]
A3,1)q3)ofYmantySanLuryoNmne 3 eAEm Code
] Ths urtrmnl eLnl be tF,4119 BE Nc awner,IFert Fees, ssrsumes .
at land conOml plucluur
I also aekeml,dgr Bm l will disclose: this mf ion b my promnv®IM to pmcFanng this poverty In the Fmve
FIELD NUMBE¢BTAn?BM OFF WIXON9M
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St Crax Cmnry 11 2 35 Gape 1 of 1
-2At� 021 REPAIR ❑
ST, CROIX COUNTY NO. STC _ _ _ ECbNNE TION o
SANITAR Y PERMI7%R"'Y REJ�PPLUMBING 0
OWNER
PLUMBER
r VM1:l�L
TOWN OF Cry LOCATED_
Aw ��� ryN iy SEC T ZS�N;R
AND/OR LOT Ww� BLOCK
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THIS PERMIT EXPIRES
SUBDIVISION
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�unIII may ngae. ro..a
lM aWwlwm111a Oa�®Imtla RaeAw WrM 4avlr Wlte
UNLESS RENEWED BEFORE THAT DATE
POST IN PLAIN VIEW
VISIBLE FROM THE ROAD FRONTING THE LOT
DURING CONSTRUCTION