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HomeMy WebLinkAbout002-1016-10-000 (2) 0Cn0 0cn0 3-0 n r~ 0 d ~1 o c 0 3 M o m • a c CD (D (D m m ^ v ID (D Cl) v o m o_ p N w l o w N o C w o°o °o C O• (D (0 - E] 3 :3 CL N) m rn m o n m cD (n o CD Cmp cUi~ cn N CO O C N 7 O j m W ? ? Q, O 1 CD D) :3, cn N m N N N m CL = =1 1 m o n I o 0 C) CD CD(D , CO O n 7 n fl) O m O 3 n O O n 0 O .r 7 N a~ N O O cn N N M C N ~1 m N y N (~1 rn z D m a co u> z D A a A p CD DU) a o ca O (n a o _ W W CD -,j -4 N n O O n r. 0 0? ~y O cn N 3 rn D D ' V N w Co m< M co o o m c`n CD CD N N CD CD C: O CD C: :3 0 O W w CD 0 C O O O N W W W Cn 0 0 0 3 CT z 0 0 0 0 0 0 ° cn cn v_ (A CA Co to cn fn ° 3 3. 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BOX 98 HAMMOND, WI 54015 715-796-2239 otc 715-425-8363 TOWNSHIP PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: NAME OF PUMPER: LOCATION OF DISPOSAL SITE: .~'u~~ NUMBER OF PERSONS LIVING IN RESIDENCE: USE: YEAR ROUND SEASONAL (CHECK ONE) APRIL MAY JUNE DATE VOL. PUMPED DATE VOL. PUMPED DATE VOL. PUMPED THIS REPORT MUST BE RETURNED NO LATER THAN JULY 30, 1985 OWNERS SIGNATURE ST. CROI X COUNTY r~ y r~~~,~ ~xa WI SC O N S I N i 3 IM' ZONING OFFICE e: 796-2239 (HAMMOND) 425-8363 (RIVER FP~L HAMMOND, Wk15465 QUARTERLY PUMPING REPORI`- ST. CROIX COUNTY ~,A.` V!► NAME j L /-A rl RETURN COMPLETED .14 ADDRESS'S t / ST. CROIX COUNTY ZONING OFFICE P.O. BOX 98 f ry w ; n \A% HAMMOND, WI 54015 715-796-2239 an 715-425-8363 TOWNSHIP ,1::~ PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: e NAME OF PUMPER: LOCATION OF DISPOSAL SITE: /y, / k NUMBER OF PERSONS LIVING IN RESIDENCE: 4Q e,J USE: YEAR ROUND SEASONAL, (CHECK ONE) JANUARY FEBRUARY MARCH DATE VOL. PUMPED DATE VOL. PUMPED DATE VOL. PUMPED THIS REPORT MUST BE RETURNED NO LATER THAN MAY 15, 1985. OWNERS SIGNATURE r tt A ST. CROI X COUNTY ;,t, err WI SC O N S I N "$y~ `Yar'd fas'1f- y` "P _ r31 Cvk1 ZONING OFFICE 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) i; HAMMOND, WI 54015 Q U A R T E R L Y P U M P I N G R E P O R T S T. C R 0 I X C O U N T Y r: NAME : RETURN COMPLETED FORM TO: ADDRESS: ST. CROIX COUNTY ZONING OFFICE. P. 0. BOX 98 HAMMOND, WI 54015 715-796-2239 or 715-425-8363 TOWNSHIP : PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: NAME OF PUMPER : ~yL 2za.li~, ,fir LOCATION OF DISPOSAL SITE: .2 /1 y'It' NUMBER OF PERSONS LIVING IN RESIDENCE: USE: YEAR ROUND SEASONAL (CHECK ONE) OCTOBER NOVEMBER DECEMBER DATE VOL. PUMPED DATE VOL. PUMPED DATE VOL. PUMPED THIS REPORT MUST BE RETURNED NO LATER THAN JANUARY 31, 1985. OWNERS SIGNATURE mj : 12-83 X ST. CROI X COUNTY w 1 WISC0NSI N I's ~1t,=; ~,~j'Y 8st ZONING OFFICE 796-2239 (HAMMOND) k'~ r 425-8363 (RIVER FALLS) HAMMOND, WI 54015 Q U A R T E R L Y P U M P I N G R E P O R T ST. CROIX COUNTY NAME RETURN COMPLETED FORM TO: ADDRESS ST. CROIX COUNTY ZONING OFFICE P.O. BOX 98 HAMMOND, WI 54015 715-796-2239 oh 715-425-8363 TOWNSHIP PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: NAME OF PUMPER: LOCATION OF DISPOSAL SITE: 53' - sc -2 "-rte IF NUMBER OF PERSONS LIVING IN RESIDENCE: 17 USE: YEAR ROUND SEASONAL (CHECK ONE) JULY AUGUST SEPTEMBER DATE VOL.PUMPED DATE VOL.PUMPED DATE VOL.PUMPED 712 4Yf /o c' ` ~ Z SY c)00. .1(' r~ /10 v THIS REPORT MUST BE RETURNED NO LATER THAN OCTOBER 15, 1984. OWNERS SIGNATURE e2 ~ x ST. CROI X COUNTY S WI SC0 N S I N } i lei 5FPF6 tkk~`C7 ,t~ r',' +•J~I/V~` ZONING OFFICE ra~ v~ j o `?lg 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) »HAMMOND, WI 54015 Q U A R T E R L Y P U M P I N G R E P O R T ST. C R 0 1 X COUNTY f NAME RETURN COMPLETED FORM TO: ADDRESS c- `a ST. CROIX COUNTY ZONING OFFICL P.O. BOX 98 l1 13r~ HAMMOND, WI 54015 TOWNSHIP 715-796-2239 m 715-425-8363 PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: NAME OF PUMPER: LOCATION OF DISPOSAL SITE: L42 l7 w NUMBER OF PERSONS LIVING IN RESIDENCE: USE: YEAR ROUND SEASONAL (CHECK ONE) APRIL MAY JUNE DATE VOL. PUMPED DATE VOL. PUMPED DATE VOL. PUMPED fC c)c ~Ct-c- rW /Gz C THIS REPORT MUST BE RETURNED NO LATER THAN JULY 15, 1984 OWNERS SIGNATURE C~ r r ST. CROI X COUNTY & T WI SC0 N S I N R ZONING OFFICE 796-2239 (HAMMON y - 425-8363 (R I V E R F ) HAMMOND, WI _ 15 co cfl QI.IAI:TERL V PUMPING REPORT ' S T . C R O I X C O U N T Y NAME RETURN COMPLETED FORM TO: ADDR1 SS,.,_-j ST. CROIX COUNTY ZONING OFFICE . P.O. BOX 98 HAMMOND, WI 54015 715-796-22:)9 oa 715-425-8363 TOWNSHIP PLEASE PROVIDE THE FOLLOWING INFORMATION ACCOMPANIED BY RECEIPTS FROM YOUR PUMPER: NAME OF PUMPER: LOCATION OF DISPOSAL SITE: NUMBER OF PERSONS LIVING IN RESIDENCE: USE:_ - YEAR ROUND SEASONAL (CHECK ONE) JANUARY FEBRUARY MARCH DATE VOL. PUMPED DATE VOL. PUMPED DATE VOL. PUMPED THIS REPORT MUST BE RETURNED NO LATER THAN APRIL 15, 1984. OWNERS SIGNATURE