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Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone(715)349-2138 <br /> Siren,Wisconsin 54872 <br /> y� ) l/}AA�F� FIDAVI T <br /> I (We) a r M EZZI, k 1Y��Q <br /> understand that the septic system serving my /i6l'� <br /> may be undersized with the construction of the proposed addition. <br /> I also understand that when my septic system fails, as defined in Chapter 144.24(10)(d) of <br /> the Wisconsin Statutes, I will obtain a soil test and the necessary permits for the <br /> installation of a code-compliant system. <br /> This installation shall be completed within one (1) year of the failure or condemnation <br /> date. <br /> Legal Description: /y�v�di�y -'z2 <br /> AM IF <br /> HA IVSONQt P0)1V TS LOT 2/-z Z - 22,77\ <br /> LZ <br /> Signature(s) <br /> Dated this Day of <br /> Subscribed sw n o before me on this date: <br /> Notary Pubic <br /> This instrument was drafted by: <br /> My commission expires: <br /> The Burnett County Zoning Office Douglas Segelstrom <br /> Siren, WI 54872 Notary Public, Bumatt Co., WI <br /> ., r <br />