To the Town Board of the Town of ________, ________ County, Wisconsin:
The undersigned, [constituting at least 51% of the persons owning real estate or the owners of at least 51% of the land] within the limits of the territory proposed to be organized into a town sanitary district, as described below, request that you establish a town sanitary district, to be known as Town Sanitary District No. ____ of the Town[s] of ________, ________ County, Wisconsin, for the reasons that a sanitary district is necessary and that the public health, safety, convenience, and welfare will be promoted by the establishment of a district and that the property to be included in the district will be benefited by establishment of a sanitary district.
The boundaries of the territory to be included in the proposed sanitary district are as follows: [insert legal description].
A plat [or sketch] showing the approximate area and boundaries of the proposed sanitary district is attached.
The following is a general outline of the proposed improvement: [ give general outline].
Dated this ______ day of ________, 20__.
[Signatures of petitioners]*
Verification
STATE OF WISCONSIN
________ County
________ ________, being first duly sworn, states on oath that [he or she] is one of the above petitioners, that the above petition was signed personally by the petitioners, and that the above petition is true and correct to the affiant's own knowledge, except as to matters stated on information and belief, which the affiant believes to be true.
[Signature of affiant]
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature and title of officer]
Notes: If a proposed sanitary district is within more than one town, the town board with the largest portion of the equalized value of taxable property within the district has exclusive jurisdiction to establish the sanitary district. The verification may be signed by one of the petitioners before any of the officials listed in s. 887.01 (1), Wis. stats. The petition must be filed with the town clerk.
* Section 60.71 (2) (b), Wis. stats., provides, “One or more of the petitioners shall verify that the petition was signed personally by the persons whose signatures appear on the petition, or a person who signs a petition may have his or her signature notarized.” When signatures are notarized, appropriate attestation by the notary must be added, such as:
Personally came before me this ________ day of _____, 20__, ________ ________, of the Town of ________, ________ County, Wisconsin, known to me to be the person who signed this petition, and acknowledged the same.
[Signature of notary public]
Notary Public, State of Wisconsin
My commission _________.
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