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295426 wcc .,� <br /> Burnett County Zoning Administration <br /> BURNE77 COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone (715) 349-2138 <br /> Siren, Wisconsin 54872 <br /> TnvnE .Sl= SEWER SYSTEM AFFIDAVIT <br /> I (We) Mlc ��k C1- E . NOQ CO� <br /> understand that the septic system serving my lz ev:" I QEt�"IGE <br /> may be undersized with the construction of the proposed <br /> addition. <br /> I also understand that when my septic system fails, as def�ned in Chapter <br /> 144.24 (30) (d) of the Wisconsin Statutes, I will obtain a soil test and the <br /> l <br /> necessary permits for the installation of a code-compliantlsystem. <br /> This installation shall be completed within one (1) year of the failure or <br /> condemnation date. <br /> Legal Description -T o u-r CoIO' 0F 01-- T <br /> 6E(14 - 5 vel l/.4 6E, -Ti o&( 15 T4014 R t s j o <br /> -T'AA PFT Paa-T o F Ta.}E F'A&T ' or G-L. Z o�" f_c•'Ti o 2z <br /> Tgo�l ) Fz14v3 o�7 6u�h-q —r�zu�tL /� • <br /> Signature(s) <br /> Dated this Day of u,Je< 199 5 <br /> BURNETI COUNTY Subscribed and sworn to beforh_ me on this date: <br /> WISCONSIN <br /> RECEIVED AND RECORDED <br /> JUL 26 1995 <br /> AT 10:30_ o•mAj}Om—A-m-M Notary Public <br /> PC/ .oCt.Ca My commission e8pires: <br /> rpm TER OF DEEDS <br /> This instrument was drafted <br /> by the Burnett County Zoning <br /> Office, Siren, WI 54872 <br />