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2008/06/25 - SANITARY - SAN - Other - 15360
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TOWN OF DANIELS
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2352
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2008/06/25 - SANITARY - SAN - Other - 15360
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Last modified
3/5/2020 6:30:45 PM
Creation date
10/1/2017 5:38:39 AM
Metadata
Fields
Template:
Property Files v2
Document Date
6/25/2008
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
County Permit Number
15360
State Permit Number
140471
Tax ID
2352
Pin Number
07-006-2-38-17-19-1 02-000-011000
Legacy Pin
006241901900
Municipality
TOWN OF DANIELS
Owner Name
SONG VANG CHONG LUCIE YANG
Property Address
23577 EMIL FINK RD
City
SIREN
State
WI
Zip
54872
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MULUINU 1 ANN bhKVIGING GUN I HAG I <br /> Contract Dale <br /> This contract is made between the <br /> Holding Tank Owner(s)Name(s) and I Pumper's Name <br /> I <br /> Richard & Lovella Strabel I Boone ' s Septic Service <br /> I <br /> We acknowledge the installation of(a) holding tank(s)on the following property: (Provide legal description:) <br /> North East Corner_of .the North West Quarter of the North East-Quarter of_Secl=ian <br /> Nineteen ( 19) , in Township Thirty Eight ( 38) , North of Range._Se37_enteen (1 7)____ <br /> West , thence Sciuth. Fifty Rods, thence West Sixteen ( 16) Rod$ ,. _thgn_Qe_ __ __L____ <br /> Dipr-t-h -Fifty- gads., _Thenar East=Sixt_een_(_l6a_RDds_to-the_ 2-lac-e-of _Beginning_ _ — — <br /> Parcel to Contain Five Acres . <br /> 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality",which has <br /> signed the pumping agreement required in Ch. ILHR 83.18 (4) (b),Wis.Adm.Code and <br /> with the County of Burnett <br /> 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the pumper to have access and to <br /> enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access <br /> road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay <br /> the pumper for all charges incurred in servicing the holding tank(s)as mutually agreed upon by the owner and pumper. <br /> 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18(4)(b),Wis. <br /> Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees <br /> to include the following in the semiannual report: <br /> a. The name and address of the person responsible for servicing the holding tank; <br /> b. The name of the owner of the holding tank; <br /> c. The location of the property on which the holding tank is installed; <br /> d. The sanitary permit number issued for the holding tank; <br /> e. The dates on which the holding tank was serviced; <br /> f. The volumes in gallons of the contents pumped from the holding tank for each servicing; <br /> g. The disposal sites to which the contents from the holding tank were delivered. <br /> 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract. <br /> the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality <br /> and the County named above within ten (10) business days from the date of change to this service contract. <br /> Owners)Name(s)(Print) I Owner's Signature(s) <br /> - -- Subscribed and sworn to before me on this date: <br /> I , <br /> Pumper's Name(Print) I Pumper's SignatureNotwy POW <br /> s a <br /> 1) IV CLEWl7cNinfG 1 M om issionexpires: <br /> 10"J � � <br /> Pumper's Registration Number "'—"- <br /> l0 <br /> SBD-7574(N.11/85) This instrument was drafted by the State of Wisconsin Department <br /> of Industry, Labor and Human Relations, Bureau of Plumbing. <br />
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