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NON -PLUMBING SANITARY PERMIT APPLICATION -Bum ft County.WI <br />Applicant Confine All Sections Below TEN Lire <br />Check Type of Non -Plumbing SystenuDevic,F $1SOfor Types <br />A PLOT PLAN MUST BE INCLUDED WITH THIS APPLICATION <br />Privy- Pit Toilet (Must be accompanied by— sail boring from a WI Certified Sail Test <br />❑ Privy - Vault Toilet(Must snMifv volume in gallons: (Minimum Hoo gal)) <br />❑ Composting Toile[ System (Must demonstrate unit is approved for use by WI USPS) <br />❑ Incinerating Toilet Device (Must demonstrate unit is approved for use by Wl DSPS) <br />LeealDmctivtionurPrtMnYSOqq T3W AlEa W oell; & dlcC4< LM In <br />S¢ cattle Town IX: NRmge N: W Towner:_Ldfbl DfY <br />M,wM addalwa/pge oessaVIA, kweskyde oNeion ORoawk,,,osofaw deMOR xwhemgnenpropenypge.� <br />Tu 1D a 11-5 digit nwnbenjaund on wt suemrnD: I uLg% <br />AREA BELOW THIS LINE MERVEDFOR ZONING STAFF COMMENES NDITI N <br />THIS PERMIT IS SUBJECT TOALL CONDITIONS LISTED BELOW: <br />k` u <br />Date of staff site vWc InBnnnfdee WibnT <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE; <br />Page 1 oft <br />Burnett County, Non -Plumbing Smitary Application— Rev Hn V <br />