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PRIVY INSTALLATION AGREEMENT-COPY TO BE ATTACHED TO THE SANITARY PERMIT APPLICATION <br /> Pro,perty 0ner(s): Reserved For Recording Date <br /> 1--)0 QC IQsSco-be <br /> � <br /> /d <br /> , ear643, ��r 1fi3 <br /> Mailing Address: <br /> �J �/f <br /> poi <br /> ,v4Al Ae r�! 9^iETT COUNTY <br /> Location: VASCON&N <br /> %, '/4, S 35 , T 3 N, R /6 E or W RECEIVED AND RECORDED <br /> City,Village, owns 1 Of: �J� eeh�r <br /> MAR 0 6 2000 <br /> Parcel Tax Number: <br /> � <br /> 61$-.33 S— 08- SDl7 AT A.M. <br /> 9:30 O'CLOCK,_, <br /> Legal Description: csrr, ua VOL 643 Pq E_._ 3P/ � <br /> REGISTER OF DEEDS <br /> Personal information you P o ide may be used fa secondary PLMWZs.lPrivacy Law,a.75.04(1)(m)l ,p <br /> 1. No plumbing will installed in the privy. f\C�'Urn tV', .Df(' -e 1- C-ItV &ew ' <br /> 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or <br /> holding tank exists, or a valid sanitary permit to install such a system has been issued. <br /> 3. A privy vault/pit shall maintain minimum setbacks as specified in Table 1. <br /> Table 1 Well Well Lake/Stream Additional County Setbacks <br /> Open Pit 50 Ft 25 Ft Min. 75 Ft <br /> Sealed Vault 25 Ft 25 Ft Min. 75 Ft <br /> 4. Privies for public buildings shall comply with ILHR 52.63, Wis. Adm. Code. <br /> 5. Privies used for one-and-two-family purposes shall be constructed in such a manner so as to exclude flies, rats and <br /> other vermin. Doors should be self-closing and vault ventilators should terminate at least one foot above the roof. <br /> 6. A privy vault shall be constructed of watertight plastic, fiberglass, coated steel or monolithic concrete. Materials shall <br /> comply the intent with Comm 83.20, Wis. Adm. Code. Counties may by ordinance, establish minimum sealed vault <br /> sizes and type or construction within the guidelines of Comm 83.20, Wis. Adm. Code. <br /> 7. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR <br /> 113, Wis. Adm. Code. <br /> 8. This agreement shall be binding on the owner, their heirs and assignees. This documentation shall be recorded by <br /> the register of deeds in a manner which allows its existence to be determined by reference to the property where the <br /> privy is installed. <br /> Printed Owner(s) Name s): <br /> Subscribed and sworn to before me on this date: <br /> Owners Si ature: n <br /> Notary Public / <br /> . ,*c otxfmission expires on: <br /> SBD-6432(R.7/98) <br />