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BURNE17 COUNTY2 4 0� A 1 _ <br /> WISCONSIN ';'1 ,�rol' ` PAUC 12'4 <br /> ECEJVED AND RECORD£ <br /> J U L 1 1 1986 <br /> AT -45 ocLocK— — <br /> Vo 409__PAd 124 <br /> AFFIDAVIT <br /> REGISTER OF DEEDS <br /> understand that the <br /> septic system serving mymay be undersized <br /> t <br /> with the construction of the proposed addition. <br /> I also understand that when my septic system fails, as defined in <br /> Chapter 144.24 (10) (d) of the Wisconsin Statutes, I will obtain a soil <br /> test and the necessary permits for the installation of a code-7(xnpl.iant <br /> system. This installation shall be coikDleted within one (1) year of the <br /> failure/condemnation date. <br /> Signature <br /> Dated this i day of <br /> �ARCE4 l/t/ <br /> Location of Property: . dor Aor v) SectionnT�pt/,R /J <br /> Subscribed and sworn to before me this 6-7,11 day of <br /> Notary Public <br /> My commission <br /> THIS INSTRUMENT DRAFTED BY <br /> Burnett County Zoning Office <br />