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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 /> A F F I D A V I T <br /> I (We) �Ye ✓ �. C_ C) -PaSCAce - <br /> — <br /> understand that the septic system serving my A/p '- j r <br /> may be undersized with the construction of the proposed "D 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: A-) 3 9- <br /> Signatu e s <br /> Dated this Of- 3o — 9y C3 O) Day of ��f , C _ , 19 ?o <br /> Subscribed and sworn to before me on this date: <br /> IV - 30 - o <br /> Notary Pubic <br /> This instrument was drafted by: <br /> My commission expires: <br /> The Burnett County Zoning Office <br /> Siren, WI 54872 <br />