ContractHolding Tank Agreement • December 18th, 2017
Document Number HOLDING TANK AGREEMENTThis agreement is madebetween the government unit and holding tank owners(s) Name and Return Address (BLACK INK ONLY):Marathon County Conservation, Planning and Zoning210 River DriveWausau, WI 54403 Parcel Identifier Number (PIN): Agreement Date: Governmental Unit:Marathon County Holding Tank Owner(s):
ContractHolding Tank Agreement • September 23rd, 2019
HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) DO NOT WRITE IN THIS SPACE Agreement Date: Town/Village/City of: Holding Tank Owner(s): Parcel I.D. Number: We acknowledge that application is being made for the installation of (a) holding tank(s) on the following described property (Provide legal description) : Drafted by: Name and Return Address:
HOLDING TANK AGREEMENTHolding Tank Agreement • December 23rd, 2020 • Pennsylvania
WHEREAS, Owner contemplates maintaining a structure upon the said property as depicted in a plot plan which includes the location of holding tank, attached hereto as Exhibit “A”; and
ContractHolding Tank Agreement • February 29th, 2016
Use black ink Document Number HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) Parcel identifier number (PIN) Agreement Date Governmental Unit Holding Tank Owner(s) We acknowledge that application is being made for the installation of a holding tank (s) on thefollowing property. Legal Description: Or that continued use of the existing premises that a holding tank be installed on the property for the purpose of containment sewage. Also, the property cannot now be served by municipal sewer, or any other type of private sewage system as permitted under Ch. SPS 383, Wis. Adm. Code, or CH. 145, Stats. As inducement to the County of Manitowoc to issue a sanitary permit for the above described property, we agree to do the following: Name and Return Address:
ContractHolding Tank Agreement • February 26th, 2021
Document Number HOLDING TANK AGREEMENTThis agreement is madebetween the government unit and holding tank owners(s) Name and Return Address**(BLACK INK ONLY): Parcel Identifier Number (PIN): Agreement Date: Governmental Unit: Langlade County Holding Tank Owner(s):
This agreement is made between the Government UnitHolding Tank Agreement • March 23rd, 2023
We acknowledge the application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description)
USE BLACK INK “ONLY”Holding Tank Agreement • July 22nd, 2020
Document Number Recording Area HOLDING TANK AGREEMENTDocument Title Name and Return Address:Engineering Department City of Mequon11333 N Cedarburg Road Mequon, WI 53092 Parcel Identification Number (PIN)
PORTAGE COUNTY HOLDING TANK AGREEMENTHolding Tank Agreement • December 13th, 2016
PARCEL ID #: Agreement Date: This Agreement is Made Between Municipality - City/Village/Town or County Holding Tank(s) Owner(s) Full Legal Description For Property Described as: Return To: Portage County Zoning/Onsite Waste
CENTER TOWNSHIP HOLDING TANK AGREEMENTHolding Tank Agreement • March 13th, 2024
Holding Tank AgreementHolding Tank Agreement • September 26th, 2022
WHEREAS, the Township has entered an Ordinance known as the Mount Pleasant Township Holding Tank Ordinance, Chapter 162 and,
ContractHolding Tank Agreement • May 30th, 2019
InDsotcruumcteionnt sNu--mSbeeer Page 2 HOLDING TANK AGREEMENTThis agreement is made between the government unit & holding tank owners(s) Holding Tank Owners: Agreement Date: Township: WWe eacakncokwnleodgwe ltehadt gapepltichaatiotnaispbpelinicgamtaiodenfoisr thbeeinisntagllamtioan dofe(a) holdfiongr ttahnek(si)nosnttahellafotllioowningolfeg(aal )dehsocrlidptiionng(otrasneeka(stta)ched):on the deed or legal description attached to this document.
ContractHolding Tank Agreement • April 11th, 2012
HOLDING 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)
ContractHolding Tank Agreement • August 6th, 2018
HOLDING TANK AGREEMENTThis agreement is made between Oneida County and the holding tank owner Agreement date Parcel identification number Holding tank owner(s) I (we) (hereafter “owner”) acknowledge that application is being made for the installation of a holding tank system on the following described property (provide legal description). Sanitary permit # Return to:
ContractHolding Tank Agreement • July 25th, 2013
***MUST BE COMPLETED IN BLACK INK*** Document Number / Plan I.D. No. HOLDING TANK AGREEMENTThis agreement is made between the government unit and holding tank owner(s) Name and Return Address Parcel Identifier Number (PIN) Agreement Date Government Unit Holding Tank Owner(s) We acknowledge that application is being made for the installation of (a) holding tank(s) on thefollowing property: (Provide legal land description. Use reverse side if additional space is needed)
HOLDING TANK AGREEMENT APPLICATION INSTRUCTIONSHolding Tank Agreement • March 27th, 2024
The installation of holding tanks is regulated by the Wisconsin Administrative Code, Ozaukee County Land and Water Management and City of Mequon Ordinances.
ContractHolding Tank Agreement • December 12th, 2017
Page 1 of 3 KENOSHA COUNTY HOLDING TANK AGREEMENT This agreement is made between Kenosha County and holding tank owner(s) Return AddressKENOSHA COUNTY DIV OF PLANNING & DEVELOPMENT19600 75th Street, Suite 185-3BRISTOL WI 53104-9772 Owners Name and Mailing Address Parcel ID # Project Property Street Address Legal Description – See Attached
ContractHolding Tank Agreement • January 14th, 2021
Document Number/ Plan I.D. No. HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) Return to:Winnebago County Zoning Department Parcel identifier number (PIN) Agreement Date Governmental Unit Holding Tank Owner(s) We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description. Use reverse side if additional space is needed)
ContractHolding Tank Agreement • July 23rd, 2020
HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) Document No. Agreement Date Governmental Unit Holding Tank Owner(s) 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 property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. DSPS 383, Wis. Adm. Code, or Ch. 145, Wis. Stats. (Provide legal land description.) 1/4 1/4, Section , Township North Range East or West Name and Return Address Parcel Identifier Number
This agreement is made between the county and holding tank owner(s).Holding Tank Agreement • May 7th, 2015
We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal description. Use reverse side if additional space is needed)
Agreement Date: HOLDING TANK AGREEMENT Parcel Identification Number (PIN): Property Description: 1/4 of the 1/4, Section , T N, R E, Town Of , Dodge County, Wisconsin Site Address: Return To: Dodge County Land Resources and Parks 127 East Oak...Holding Tank Agreement • February 23rd, 2018
We acknowledge that an application is being made for the installation of a holding tank(s) on the property described above and that the continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage.
ContractHolding Tank Agreement • December 21st, 2015
USE BLACK INK HOLDING TANK AGREEMENT Document Number/Recording Area Name and Return Address:Pierce County Land Management Dept. County Courthouse, 414 W Main St,PO Box 647, Ellsworth, WI 54011 On this date , a Holding Tank Agreement is made between the (check one) 🞎 City 🞎 Village 🞎 Town of and the land owner(s)/holding tank owner(s): We acknowledge the application is being made for the installation of a holding tank(s) on the following property: (Provided legal description below or ❒ See Attached.) Parcel Number: Site Address: Legal Description:
ContractHolding Tank Agreement • July 11th, 2019
Document Number/Plan I.D. No. HOLDING TANK AGREEMENTThis agreement is made between the local governmental unit and the holding tank owner(s) Parcel Identification Number Agreement date Governmental Unit Holding Tank Owner(s) We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description. Attach full legal description if necessary) Return to:Sauk County Land Resources & Environment
Jackson County Zoning, POWTS, and Land Information DepartmentHolding Tank Agreement • April 21st, 2014
Document Number/Plan I.D. No. HOLDING TANK AGREEMENTThis agreement is made between the local governmental unit and the holding tank owner(s) Name and Return Address: Parcel Identification Number: Agreement Date: Governmental Unit: Holding Tank Owner(s): We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property: (Provide legal land description. (Use reverse side for additional space) Return to: Jackson County Zoning & Land Information Dept.
HOLDING TANK AGREEMENTHolding Tank Agreement • November 25th, 2019
Plan Identification No./Permit No. This agreement is made between the governmental unit and holdingtank owner(s) Recording Area Agreement Date Property Address County Governmental UnitJefferson County Tax Parcel# I/We acknowledge the installation of (a) holding tank(s) on the following property. Type, neatly print or attach the legal description of your property in the space below. After Recording Return To: ¼ ¼ Section Town Range
ContractHolding Tank Agreement • March 26th, 2021
Document Number HOLDING TANK AGREEMENTThis agreement is made between Vilas County and the holding tank owner. Agreement Date Parcel Identification Number Government Unit Holding Tank Owner(s) I (we) (hereafter “owner”) acknowledge that application is being made for the installation of a holding tank system on the following described property: (Provide legal description), RETURN TO:
ContractHolding Tank Agreement • March 21st, 2011
HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) DO NOT WRITE IN SPACE ABOVE Agreement Date: Town/Village/City of: Property Owner(s): Parcel I.D. Number: We acknowledge that application is being made for the installation of (a) holding tank(s) on the following described property (Provide full legal description: ¼ ¼ Section, Township, Range). This instrument drafted by (person filling out form): Return to (Name and address of property owner):
Holding Tank AgreementThis agreement is made between the governmental unit and holding tank owner(s).** Use Black Ink Only ** Recording Area Property Owner(s) Name: Tax Id #: Address of Subject Property: Governmental Unit: City Town Village We...Holding Tank Agreement • December 17th, 2014
HOLDING TANK AGREEMENTHolding Tank Agreement • July 19th, 2022
PIN#: Sanitary Permit #:(to be filled in by Gov. Agent) THIS AREA MUST BE LEFT BLANK FOR RECORDING PURPOSES Holding Tank Owner(s) (print or type): All Properties We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property in Lincoln County, State of Wisconsin:Section: Township: N Range: EGovernment Lot: OR Quarter/Quarter: 1/4 1/4 (circle one) Town / City of If Applicable CSM Number: Lot(s): Block: CSM Recorded in Vol: Page: Doc. Number Subdivision Name: (Subdivision Continued) Lot(s):_ Block: Return to:Lincoln County Land Services
B A L T I M O R E C O U N T YHolding Tank Agreement • January 5th, 2012
[and ], and his/her/their personal representatives/successors and assigns (jointly, severally and collectively, the “Owner”) for the benefit of Baltimore County, Maryland (the “County”).
HOLDING TANK AGREEMENTHolding Tank Agreement • October 26th, 2020
WHEREAS, Owner is the owner of real property located at,___________________________ (“Property”) which is within the Township; and recorded in Book No. page No. Adams County, PA
HOLDING TANK AGREEMENT APPLICATIONHolding Tank Agreement • February 27th, 2024
ContractHolding Tank Agreement • March 31st, 2016
Document No./Plan Identification No. HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s). Agreement Date Holding Tank Owner(s) Governmental Unit Village of Germantown We acknowledge that application is being made for the installation of (a) holding tank(s) on the following Property: (Provide legal land description below or attach) 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, or any other type of private sewage system as permitted under Ch. SPS 383, Wis. Adm. Code, or Ch. 145, Stats. As an inducement to the County of Washington to issue a sanitary permit for the above described property, we agree to do the following: Name and Return Address Parcel ID # (PIN)
Preserving Yesterday's Heritage for Tomorrow.Holding Tank Agreement • May 24th, 2012
The Ozaukee County Department of Land and Water Management (LWM) (262-284-8313) requires that any parcel that will be served by a holding tank as its private sewage disposal system execute with the Town of Cedarburg a Holding Tank Agreement. This insures the Town that the tank will be properly maintained and pumped. In the event that it is not, the effluent is considered a health hazard and must be cleaned up by the Town. Therefore, a bond must be kept linked with the property as long as the holding tank is active.
ContractHolding Tank Agreement • February 16th, 2012
Document # HOLDING TANK AGREEMENTThis agreement is made between the governmental unit and holding tank owner(s) Agreement Date Holding Tank Owner(s) Tax Parcel # Legal land description A parcel of land located in the ¼, ¼, Sec. , T N, R E, Town of ,Walworth County, Wisconsin (see attached) Name & Return Address LAND USE & RESOURCE MANAGEMENT $30.00
ContractHolding Tank Agreement • February 28th, 2017
Document No./Plan Identification No. Holding Tank AgreementThis agreement is made between the governmental unit and holding tankowner(s) Agreement Date Governmental Unit Holding Tank Owner(s) We acknowledge that application is being made for the installation of (a) holding tank(s) on the followingproperty: Provide legal land description) or that continued used 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, or any other type of private sewage system as permitted under Ch. DSPS 383, Wis.Adm Code, or Ch.145.Stats. As an inducement to the to issue a sanitary permit for the above described property we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch DSPS 383, Wis., Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the gov
