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281 289 291-293 295 and 299 Wis. Stats. failure to file this form may result in a forfeiture of between 10-25 000 or imprisonment for up to one year depending on the program and conduct involved* Personally identifiable information on this form is not intended to be used for any other purpose. Return form to the appropriate DNR office and bureau. See instructions on reverse for more information* Route to Drinking Water Watershed/Wastewater Waste Management Verification Only of Fill and Seal Oth ...

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