Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-2040-90-000
O1 o e=i o o S , w ~C L• we W = m n o~ ~ T CD c o o 3 ° o0 0 v c co v u~ D CD 4 _ cj y C rv CD r_ o D3 G rt 'H 3 a " ° v°, o _ O w o C. D F 0 N M oZ CO CO m 0 r fn 0 rt H 0O Q M 'D 'a o N V o 0 0 0 co 4 CD CD ~I a CD CD )o CD 00 cr o H m H n fT y ` ~I Z N u, o O C I D CD o ~r d ul 0 a p Oo p CD fn y lV • ~~rl N V W N ~ W tr1 t w m a O _ m -I to 00 CJ C!] S (p er 0 CL p (Z h .Y ` (t a c1 o W T m o CNJI 0 p~ C.3 ~z UNi o m c .T y z (D A w N d ~ Q 3 N C p Z a CD Ol N I a y :3 y I a I c a N O V N CD A N p O o0 ~ ' o •ti °o ~ j ti C~ Form-STC-104 AS BUILT SANITARY SYSTEM REPORT OWNER f~~l ~ rnh, TOWNSHIP - T6 S.e~ SEC. ~257 T5?-9- N-R,,r?,~t2_W _7. ADDRESS x.70 ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT - LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM rr ~ I) I, , \s 67y, . j e INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used, 6 e d 04 Elevation of vertical reference point: / -T, Proposed Y5` slope at site: SEPTIC TANK: Manufacturer: e/tS Liquid Capacity: /6a-a Number of rings used: Tank manhole cover elevation: /~j/. 710 Tank Inlet..Elevation:/067 Tank Outlet Elevation: Number of feet from :nearest Road.: Front, Side Rear,_ feet 0 lb- 2S- From'snearest-property line Front,~Side 0 Rear, 0 y~ _ S feet Number of feet from: welltT n-, building:O (Include this information of the above plot plan)( 2 reference dimensions to septic tank) 4R.R. RR.URRQR QTnV • PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed:s Trench: f Length:`oZt Number of Lines: a Area Built: Width: /oZ Fill depth to top of pipe: .2,D Number of feet from nearest property line: Front, Side, O Rear, O Ft.Z i v / Number of feet from well: 44Z2 Number of feet from building: 2 r (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box 0 or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: -7~ Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P,O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISOV, WI 53707 BUREAU OF PLUMBING ' CONVENTIONAL ❑ALTERNATIVE Stete r, l,D. Number: ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound i1f 8$S1gnedl NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER INSPECTION DATE. Rand .Lindstrom Rt. 2, Box 270, Hudson , WI 54016 - BENG44 MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. r REF. PT. ELEV.: CST REF. PL ELE V.. SE SE Section 25, T30N-R20W, Town of St. Joseph Name of Plumber: MP/MPRSW No.. Cnun+y Sanitary Permit Number: Byron Bird Jr. 3318 St. Croix 79138 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY . ANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER D~~ PROVIDED: PROVIDED: Y YES ❑NO ❑YES ❑NO BEDDIN IVINTDIA-. VENT MATI HIGH WA ER NUMBER OF ROAD: PROPER TV WELL. BUILDING: I ENT TO FRESH ALARM LINE _ YES ONO FEET FROM ~ AIR INLET. (Y ❑YES ONO NEAREST- "~"-'''y DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL JPUMP; SIPHON MANUF AC T DREH WARNING LABEL LOCKING COVER PROVIDED: PROVIDED ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE; PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING IVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing DIAMF TER MATERIAL AND MARKING; or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LNC,rH INC f DlsrR PIPE sPncwl; covEH wslDL Dln -PITS LIQUID / ^2 THENC T HIAL A'. kI FS 6 PIT DEPTH. DIMENSIONS DEPIri FILL DEPTH H. PIPE UISTH PIPE DISTR. PIPE MATERIAL 15TH NUMBER OF P WELL BUILDING. VENT TO FRESH BELOW PIPES ABOV VER I EL E I S ROPERTY LINE AIR INLET. /"N FEET FR NEARESTO--~ MOUND SYSTEM: dzilq~ Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER rexruRE PERNtnNI NT MARKERS ~CBSEHVATION WELLS ❑YES NO YES ❑NO DEPTH OVER TRENCH BED DEPTH OVFR THENCH BF_U DEPTH OF TOPSOIL SODDED FE OFU MULCHED CENTER EDGES ❑YES. 1:1 NO [:]YES 1:1 NO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTR PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV.. CIA. ELEV. PIPES DI A. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDSTOAPPROVED PLANS ❑YES ONO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: ='FF UMBER OF PROPERTY WELL BUILDING: EETOM LINE❑YES ❑NO ❑YES ONEAREST Sketch System on Retain in county file for audit. Reverse Side. S NA R TITLE: DILHR SBD 6710 (R. 01/82). E Lumconsln 10 APPLICATION FOR SANITARY PERMIT * D I L H R COUNTY (PLB 67) M inouSTR,LR OF UNIFORM SANITARY PERMIT # - nOU5Tg4 LRBOR 6 NUmgn RElRT10n5 / N13 A -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in sii~ze. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS PROPERTY LOCA ON CITY: 1/4 J` l/4, S~ TA, N, R vl GE: pE (Dr -MVVEPOF: J LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LAND ARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED a3C~-ao4~a-~'a ooQ X1 or 2 Family Number of Bedrooms. Public (Specify): THIS PERMIT IS FOR A: XNew System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. y'ASeepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: tr IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ~a ❑ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (PrintSignature- ^ MP/MPRSW No.: Phone Number: Plum s Ad ress: Name of Designer: ~Cf c° J~~{oc, i'`c Z COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given Initial / X Approved Adverse Determination Reaso for Di p a . Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber t INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property f 14 S F Section , T 30 N-R,2C W Township Sf c c? p Mailing Address R r, _-2 13 e x 7 Address of Site f 4 r^ AV /~1 U ~S a ~ l/.~i ;S S `Fd / Subdivision Name Lot Number Previous Owner of Property /3, /,Q Total Size of Parcel At., Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes :k No Volume 7 3,R and Page Number P79 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) eenttjy that a t ,statements on thi.6 6onm ane true to the best o6 my (oun) knowledge; that I (we) am (are) the owner(,s) o6 the pnopenty de.6cA bed in th.i,s in6onmati.on Jonm, by viAtue ob a wa Aanty deed neeonded in the 066ice ob the County Register o6 Deeds as Document No. ; and that I (we) pnesentty own the propo,sed site 6ok the sewage di,spo,s ,sy,s em (on I (we) have obtained an easement, to nun with the above descA bed pnopeAty, 4on the constnucti.on o6 said ,system, and the dame has been duty neconded in the 046ice o6 the County Reg-isten og Deed, as Document No. All SIGNAT OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) S S'_ 9 6 S' S --&,6 DATE SIGNED DATE SIGNED y a STC - 105 r" r SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z d OWNER/BUYER J~ a ROUTE/BOX NUMBER Fire Number CITY/STATE ZIP PROPERTY LOCATION: 14, Section , T N, _ W, Town of J't To-'_-'Oh St. Croix County, Subdivision Lot number . Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. y 0 E I/WE, the undersigned, have read the above requirements and agree z to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED \ DATE _ r St. Croix County Zoning Office P.O. Box 98. Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. e z o ° >o ~c a? O C 4) C d O p i p C 3-~ U _ co O O C O O N I- O` O 0 C C U) O 4 O 0 U i fA 0 C O` C V m V y y.=. Of>. v~ O (ac 3ca ow C73~ O cc -a C US cc c ca 0 0 -0 0 Ix a~imC0) cE~ CM 0 q- (MV V 0" M.- m o (D c Y 1 Cl. L oyv2 0 c ca 3 0)3 c ~-0 c`o Q cc o o o t.-t, CC W to o c0 ~ c U) 0 i U Z C ~ H- +U co O c0 U. CO Z NomX"ova y c w e-0 a c (D 3 O 3o (D 0 ~UCO V 1- U 0 lU U 0 w. O` (D 0 N- O ` O e. m N > Q aa~cp O OLt C C _y O r' 0 O i C co co ` .-w co R! IX I 0 0) U r E 3 O Z 'C m -3 O O E 3: :3 co 3 0 co o t C c Y ~t C- Ot 4?. i t5 c Ojai -t-- - T N U 0 O i d co 0) O O O Y U C -a)v00 co i UQ-0 w m ,"~F 3rn~,..3o v,a~c° ~L `rcoa~a~c° 4)LOa >,x v) v~rn~ E C z il3 ' co i cc c0 O 0 0.0 0, co t t O E O w c o i i O C 042-cu p OEcvcocaZ ~ ►=-mm m U) r N J O DEPAR_ ~MENT OF REPORT ON SOIL WRINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 3707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: NS /MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: '/45~' 1/ /TAN/ICE (o c COUNTY: OWNER'S BUYER'S NAME: MAILIN A D SS: _L_ A Oft R & O ` c, Gr 1 USE DATES OBSERVATIONS MADE I NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: C&esider New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system r ONVENTIONAL: MOUND: IWGROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ~S ❑U S ❑U S ❑U ❑S U ❑S ~U /6r5 ~s 5-t r- 6n D If Percolation Tests are NOT 'SIGN RATE: required If any portion of the tested area is in the K0_ under s. ILHR 83.09(5)(b), iFloodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- go ys, dry O-// 46 / ~//f-,?'f r~ /5 2 Y O-7%l S/ 7-.216 d.-Or" i5 a55-~Q s B- 141. L/ 0?6n Zat) e B-3 ~ O D--~Dr~~/y ar ~/r /5y-acs-~nS n B- - o n B- PERCOLATION TESTS F.cc 1~ TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 /PER INCH P- / y, / n r P_ 3.3 c -1 42" P- -3. 91 I P- P- P_. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope / SYSTEM ELEVATION Q !'L far GC~l Y E 3 C)erner,SiC'7s ~r',.Cttter~ ( - 3 0 axe, zoo E i < 3 ~~rLflo ~d2~~ JJJ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ADDR CERTIFICATION NUMBER: PHONE NUMBER (optional): a od O 7 ! ',ZG S' 7C b CST SI TU DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - s 4 i r T C T s =st r ~mit. Thy quest v I of [ ':e , =r o i ' PROJECT /I e, , ` • S/YcvQDDRESS • ,5,C-1/jj; 'l/4/S oN/R~oW TOWN, COUNTY .15 BEDROOM) CLASS PERC_/ CONVENTIONAL CONVENTIONAL LIFT- MOUND- HOLDING TANK- IN-GROUND PRESSURE- SEPTIC TANK SIZE 4- LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION REA PERC RATE BED SIZE ~,a PLUMBER LISCENSE NO.-mac DATE - BM Assume elevation 100' Location of Benchmark_/Ze.//0/a-, / 0J C'r~fe © ~j-,ee d/es 0 Borehole Q Well w e • Perc Hole System Elevation TYPAR COVERING 2 2 (4) 2 q4 12' i Sewft. ft. i 6Y i~ v A3 3 ~kl ~~s~G y t a Districts: SC = School SP = Special Property Address(es): * = Primary • Type Dist # Description * 292 130TH AVE SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 25 T30N R20W E 1/2 S 1/2 OF S 1/2 OF Block/Condo Bldg: SE 1/4 SE 1/4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 01/03/2002 667123 1806/568 QC 07/23/1997 732/175 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 129,600 212,900 342,500 NO Totals for 2007: General Property 5.000 129,600 212,900 342,500 Woodland 0.000 0 0 Totals for 2006: General Property 5.000 129,600 212,900 342,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 204 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 030-2040-90-000 02/06/2007 02:49 PM ' PAGE 1 OF 1 Alt. Parcel 25.30.20.492A 030 -TOWN OF SAINT JOSEPH Current I XJ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner RANDY J LINDSTROM O - LINDSTROM, RANDY J 292 130TH AVE U1 InQt-%1 %M, r4P a R I