HomeMy WebLinkAbout020-1491-16-000 (2) •- ,Department ol Commacr SOIL EVALUATION REPORT • Pas* t o1 z
• Diemen of Safety and BWdin s
in accordance with Comm 85.Wis. Ada. Code Goland
Attach complete site plan on paper not less man 8 tr2 x 11 tr,drs in sae.Plan must s7• LiRLIr/t'
include.bu not knead to:vertical and honzonW reference point(BM).drecion and Parcel ID.
percent slope,sale or dimensions,norm arrow,and location and distance b nearest mad. I Ya-Jun VI-?.--AW
Please print all information. Reviewed by • • Date
Personal rbnneaon you vie^w be used for seconder'Pevraee PAY tau.$ 15.04(1)0A I
Property Owner Property Location _ .
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Citys• State Sip Cods phone Number ❑City 0 Village 16 Town Nearest Road
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Etauenu at s BOO,>30<220 marl.and TSS>30<150 marl • e2 a BODn<3o moll and TSS_90!mart -
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Evakuatron Conducted Telephone
Address Fogerty Plumbing a Perk testing 1 in ',/
28288 McKeNie Rd. ,/ 71S--415 9Eof
Spooner, WI 54801 / ( YG Ay/ —�1 —.2/�4
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Fogerty Plumbing
*221180
28288 McKenzie Rd.
Spooner, WI 54801
(715)635-9609
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