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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 /> 1 // / AFFIDAVIT <br /> I (We) Rao J kua2en Sr. do1Rv114 fLudden <br /> i <br /> understand that the septic system serving jW �omL <br /> may be undersized with the construction of the proposed 72 4/ 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: ,.<� & `f y�2 W A e to S 1oSd <br /> / 41o , a ao v . hof. 3 <br /> Signatur s <br /> Dated this g T~ Day of �p ` , 19 ?p <br /> Subscribed and sworn to before me on this date: <br /> C7- <br /> ( aaaaae <br /> ♦�',,O `d��d <br /> �' Q r � j Nutary Pubic <br /> This instrument was drafted by: pp � <br /> My :ssion�vkxpirds;r:' <br /> The Burnett County Zoning Office IIS, e� ' <br /> Siren, WI 54872 so6 /��� � 'I <br />