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2560711 <br /> bURNETT COUNTY <br /> WISCONSIN <br /> IRECEIVED AND RECORDED <br /> L I <br /> I AUG 2 5 1995 1 <br /> IAT 3:00 O Ct. K__PM <br /> VOL 540 PAGT 5311:—_I <br /> 1 REGISTER(-))FF DEEDS <br /> PRIVY <br /> PRIVY INSTALLATION AGREEMENT <br /> NOTE: This document is to be recorded in the Tract Index at the office of the Register of Deeds in the county indicated beio <br /> COPY TO BE ATTACHED TO PLB.67 WHEN APPLYING FOR 14ANITARY PERMIT <br /> OPE TY <br /> z1zR: - ,M (LING ADDRESS: <br /> 1�n b r ln1Z bzl83o <br /> LOC ION: p - I i/l� CIT ILLA EOR WNSHIP. NT V: <br /> oc`r 1 f g WO 10 E IDrI N <br /> I(we)acknowledge the following privy installation conditions: <br /> 1. No plumbing will be installed on the premises. Plumbing means any piping,fixtures,equipment,devices or appurtenance I in connection with water supplies, <br /> water distribution and drainage systems, including hot water storage tanks,water softeners and water heaters connected m ith such water and drainage systems. <br /> 2. The privy will not be erected within 50 feet of any well,stream or lake,25 feet of a door or window of any building,10 fDet of the line of any street or public <br /> thoroughfare and 5 feet of a property line.Set backs not mentioned shall not be less than thou shown in section ILHR83.1 (1),(Wis.Administrative Code). <br /> 3. The privy will not be installed on soils that do not have at least 3 feet of soil below the bottom of the proposed excavation that is free of pmodic saturation <br /> or bedred:.luhere then,conditions cannot he met a vault constructed in accordance with section ILHR83.18(6),Wisconsin Administrative Code will be used. <br /> SI ATy Re AND TITLE: <br /> 4. The soil condition has been verified by an appropriate county official or if,.[ rr 7r <br /> certified soil tester as signed here. `�.� <br /> 5. The privy will be installed:(mark one) 0 over a soil pit ❑ over a vault. <br /> 6. This agreement shall be binding on the owner(s)or heirs an ysigivees. <br /> Or, <br /> Z1:4 <br /> owrveRlsl: <br /> STATE OF WISCONSIN � <br /> Personally came before me this rd day of ` ,11 L*f ,19Jo�.,the above named - Baum <br /> ,to me known to be the persons who executed the foregoing instrument and acknowledged the same. <br /> THIS INSTRUMENT ORAPTED BY: NOT Ry PUBLIC: M VCOMMISSION EXPIRES: <br /> DLLbiRi$1216E432(R.17)073) <br />