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PRFVY T T TION AGREEMENT - COPY TO BE ATTACHED TO THE SANITARY PERMIT APPLICATION. t�!/ <br /> Property�ownner(s): Reserved For Recording Data646 <br /> / IF <br /> 6 & h .. <br /> Mailing Address: A <br /> Location: BURNETT COUNTY <br /> }, }, S �3 T N R h, E or WISCONSIN <br /> oto, age.Townshi of:� RECEIVED AND RECORDED <br /> loin 0 )SS <br /> ParcelTax N tuber: <br /> VitAUG 9 t498 <br /> , 0 3 -� <br /> LegalDescription: <br /> OSM J• �� P, 1-13 10 aL-e • i1"1 AT 9:45 O'CLOCK�.M• <br /> 5 y <br /> --,.P G <br /> De6. REGISTER OF DEEDS <br /> Return to: Burnett County Zoning <br /> 1. No plumbing will be installed in the privy. Siren, WI <br /> 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or <br /> holding tank exists,or a valid sanitary permii to install such a system has been issued. <br /> 3. A privy vault/pit shall maintain minimum setbacks as specified in Table 1. <br /> Table 1 Well Building Lake/Stream Additional County Setbacks <br /> Open Pit 50 Ft 25 Ft Min. 75 Ft <br /> Sealed Vault 25 Ft 25 Ft Min. 75 Ft <br /> 4. Privies for public buildings shall comply with ILHR 52.63,WisAdm. Code. <br /> 5. Privies used for one-and two-family purposes shall be constructed in such a manner so as to exclude flies, rats and <br /> other vermin. Doors should be self-closing and vault ventilators should terminate at least one foot above the roof. <br /> 6. A privy vault shall be constructed of watertight plastic, fiberglass,coated steel or monolithic concrete. Materials shall <br /> comply the intent with ILHR 83.20,Wis.Adm.Code. Counties may,by ordinance,establish minimum sealed vault sizes <br /> and type or construction within the guidelines of ILHR 83.20,Wis.Adm.Code. <br /> 7. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR <br /> 113,Wis.Adm. Code. <br /> 8. This agreement shall be binding on the owner,their heirs and assignees. This document shall be recorded by the <br /> register of deeds in a manner which allows its existence to be determined by reference to the property where the <br /> privy is installed. <br /> PrintedOwners Name(s): _ <br /> L>la� 1� (D LL Subscribed and sworn to before me on this date: <br /> U I : <br /> Owner(s n al re: t���r<) LIM Itf V <br /> Notary Pubhc U; <br /> My commission expires on: <br /> SBD-6432(R.05/91) NOTE: This document was drafted by the State Department of Industry,Labor and Human Relations, <br /> Bureau of Building Water Systems. <br />