ContractHolding Tank Agreement • April 11th, 2012
Contract Type FiledApril 11th, 2012HOLDING TANK AGREEMENT** USE ONLY BLACK INK ON THIS FORM DO NOT WRITE IN THIS SPACE Agreement Date Town / Village / City of: Holding Tank Owner(s) (please print) State Sanitary Permit Number We acknowledge that application is being made for the installation of a holding tank(s) on the following described property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also the property cannot now be served by a municipal sewer. Legal Description of Property: Return to: Douglas County Zoning Tax Parcel Number: (required)