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HomeMy WebLinkAbout014-1045-50-200 v ep a O O o m o °� $ 0 ID 100) o o@ m tY = y C o Q v O w l� N O L N(n L C _ In L .. 0 E3Ow CL O m 3 N a)N p(n C oO a) O T M �-° E E wN�c a3 O N N N V c N t 0 C m o a° o o°)ig .a OWd N 3N = Z N €rU w O p N l c z °' U)r-N ° c z nw CL cc LL C L N L (6 0) LL c co C N = O •3 h (1) a) C •O O N > y LJ 0 U) a> �' o w c M O CO t7 N N z N w N z � w m m m uwi a m a m o Z �► c c 'o` w ° d Z c c 2 2 y ° 3 m a) N cc a) N m N CL cl a L a L o 4) Q o m Q 0 M z m z i� z CD z co co N � � � 1 c N N CL d 2 N U m H d N C N CD O G a O d (n CL m c 0 0 0 cc O O O •N 4i CL a. IL CD a a a o ¢ Q a mJU N � rn z N z r_ 0 CD O _ O N N = 0 O O N ) rn � � N N O m � o 79 U) 'n ay y H O O U h C 'O N C N m O O O O O O) E Lo O v O _ U «a N O O LO Cl 3 '' U a) O U O O N C 'O N N N V � O N N tq V1 C C O N 0 � F- OI W O N f� y a Z N N w O w .O to V d ° n m a� c a) N C M O y 2 i.+ N p t6 •O ~ O N LL O Z !n 2 H M O Z E V vJ d Ri' € CL € a tom• c m :w `m L, a Parcel #: 014-1045-50-200 02/18/2014 08:21 AM PAGE 1 OF 1 Alt. Parcel#: 21.31.15.333B 014-TOWN OF FOREST Current IX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 11/12/2012 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-DOBOSZ, INGA L& BRADLEY A INGA L&BRADLEY A DOBOSZ 2876 200TH AVE EMERALD WI 54013 Property Address(es): "=Primary 2876 200TH AVE Districts: SC=School SP=Special t 2-94-Z Type Dist# Description SC 1127 SCH DIST OF CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST es: -------- SP 1700 WITC SP 0038 CLEAR LAKE FIRE DIST NEW FOR 2013 TAKES ALL 014-1045-50-100 (333A)AND 014-1045-80-100(336A , KNA CSM 2 - 88, 014-1045--5U- 4-1045-50_300 Legal Description: Acres: 10.7 (333C) SEC 21 T31 N R1 5W PT SE SE BEING CSM 25-5888, LOT 1 Parce Date Doc# Vol/Page Type 11/12/2012 967255 25/5888 CSM 11/08/2004 779207 2691/030 EZ-U 01/11/2002 668044 1813/315 QC Plat: "=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *5888-CSM 25-5888 014/2012 21-31N-15W SE SE LOT 01 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 275032 87,600 Valuations: Last Changed: 04/30/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 12,000 62,600 74,600 NO 00 UNDEVELOPED G5 6.000 3,000 0 3,000 NO 10 OTHER G7 2.000 10,000 8,900 18,900 NO 08 Totals for 2013: General Property 10.000 25,000 71,500 96,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 571 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 967255 BE N-i PABST REGISTER OF DEEDS ST. CROIX CO. CERTIFIED SURVEY MAP NO. 5888_ ST. CROIX CO., earl OF THE SE-SE AND NE-SE, SEC. 21, T.31N., R.15W., RECEIVED FOR RECODI> TOWN OF FOREST, ST. CROIX CO., W1 ii/3-2/2012 11:40 AM EXEMPT UNPLATTED LANDS REC PEE: 30.00 / COPY FEE-PAGES: 2.ao 8 3 Cori X x X x X 2. i I N88.11'47X T—x x _--- E 1/4 CORNER Existing------ I SEC. 21-31-15 --- \ 1306. 5' 0r"'e 33.01' `NW CORNER I NE-SE J I O z x � O I I z n a RECEIVED z m < nAi I I O � I I o o Z JAN 2 2 2013 of m 1,801,078 SO FT ST.CROIX COUNTY I >I wC.35 ACR/W 6URVEYOR'S RECORD i o� LEGEND �N 1,756,705 SO FT I ' 1 ST. CROIX CO. SURVEYOR'S MON. OF RECORD. u 40.33 ACRES POSITIONS ESTABLISHED FROM (Excludes R/W) o I ST. CROIX CO. COORDINATE SYSTEM 0 1" X 18" (1.315" O.D.) IRON PIPE WEIGHING 1.68 LBS./LINEAL FT. SET ...... ...... ..I. - I e DENOTES 60d SPIKE SET I........................................... x FENCE 3,1 59,510 SO FT I ° GRAPHIC SCALE o_ 71.07 ACRES I I 0 150 300 CLUDES R/W u°I I rn _ _... _..._..._...,.. _...�- ... NE CORNER I r.� NW CORNER /�� 3, 26,730 SO FT SE-SE NI I 1 inch = 300 ft. ( o O0 SE-SE 6�/ G .48 ACRES NI Excludes R/W) Y, U vi Z I I > 'S85'42'24°E 4 O✓Q/V ere :z 564.79' I 8I N♦°.\ti $�j�_ewi 449,087 SO FT 1,338.432 SO FT r _ 11 A ` Gt I p l S 5�..�.t .lei Y O t ro 10.31 ACRES ! m 30.73 ACRES g_1496 z ao (Excludes R/W) a INCLUDES R/W °- °°. LOT1 N 1.270,025 SO FT °SST. CROiX FALLS:y�. ° u°, J 29.16 ACRES rr WIS. `qY 468,445 SO FT - y; I I ♦♦ �y�� '�,T • 10.75 ACRES ^; J (Excludes R/W) ♦ •.. �4 INCLUDES R/W 14 1-3-3 331 `+.��:y �� •'♦ +` p Shed Selic I I q�e^M� �•.'� O u Bae I I er e s � to be u I v a 1 I N to be°e'eo.Kd I I. ' I lo" I I SE CORNER _ ° u °'. N SE CORNER o I I n w ]I 588-31'04"W I SEC. 21-31-15 II 588'31'04"W g SE-SE - I1' I _ 11 728.74' R/W _6 ---- 1 586.08' — — 8831'D4"W------v, -—— \ — 8'31 04"W 587.09 --- 588-37 4 34 .94 - 4 --'--------- --------- 2 AVE ............ . GENERAL NOTICE STATEMENT THE LOTS SHOWN AND MAPPED HEREON ARE SUBJECT TO STATE, COUNTY AND TOWNSHIP RULES, LAWS AND REGULATIONS (ie. ACCESS TO PARCEL, WETLAND RESTRICTIONS, MINIMUM LOT SIZE, ETC.) ' BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING.',OFFICE AND THE APPROPRIATE_ TOWN BOARD FOR ADVICE. - 12-175 SHEET 1 OF 2 SHEETS 1of2 Vol. 25 Page 5888 Ul � p I ao 4 0 o C c c w o o c� C 3 O� 2 > z c a3i tl N C N c T r O 0 V C O C N f0 w c C _ y C Ern^o ; rn 0! y O N� I h N a O E w 3 'a (wn I o O O Q O C N z m = c LL c c -r-CD N y ,O N `y0 U fCL� 3 -0 300 0 m c - Q O N v r 02 3 O p p v iI, Z p'owy j W N 7 Lo W E o In = O v a € p OO > r� d m c cwt W N F- (A 0 N o N y N C c,.. N U(O O z c C ON p .O P C N —.p o N C1 z C O U C E m ao'3 U) m > N V1 m (0 N :3 N (D= O �OVA ! d N N N L 3 d L N N v 0 a O w � O Z z z N Cl) co I d Lo LO °' a c v N m p d m o N � C • >a a a EL a tv a p m I, N t m � p J V z _ 00 cj co o o w o co N N T 3 a o M w c ¢ zU) m CO y 72 S O C� t7 V O O O N N 7 r' V U) M 3 u a °o o f y,y � M O V y N Q N (. �' r F N w O 7 N O M d C_ a0i 7 C_ L O O O W O O t6 U •N ' O N LL O z MAI z z (n a a L a rT`ti c c Q U a 0 y U a AS BUILT SANITARY SYSTEM REPORT OWNER 4j TOWNSHIP / ES7� SEC.24T &N -R,� W S . t l ST. CROIX COUNTY, WISCONSIN. ,EMeR !.% ,.4yw SUBDIVISION LOT LOT SIZE i144 �dR� PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I • s i at r I rr w BENCHMARK: (Permanent reference Point) Describe Roy oFeAPeS'0& FARM Ho use loo Elevation'of vertical reference point: �p G Slope at site: SEPTIC TANK: Manufacturer: kye Liquid Capacity: /0 40 Number of rings on cover A/dNe Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of pump set for a cycle gallons; Total capacity of distribution lines gallon: size of pump head; gallon per minute horsepower ;brand name of pump and model number ; Type of warning device HOLDING TANK: Manufacturer Numb.er of gallons Elevation of manhole cover ; Type of warning device SEEPAGE PIT SI'Z'E; Number of pits feet diameter feet liquid depth seepage pit inlet pipe- elevation bottom of seepage pit elevation feet. / SEEPAGE BED SIZE: number of lines �, width length D 7 tile depth SEEPAGE TRENCH: width length PERCOLATION RATE _� AREA REQUIRED /,S AREA AS BUILT ,Z INSPECTOR DATED ,Z�s- �,3 PLUMBER O JOB LICENSE N,]JMBER Jyp S'6 f0 __ DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 E2 CONVENTIONAL ❑ALTERNATIVE E Plan I.D. Number: assigned) El Tank ❑ In- Ground Pressure El Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Clifford Winberg RR #I, Emerald, WI 0-1—N a _3 J!QD BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: SE SE, Section 21, T —R15W, Town of Forest Name of Plumber: MP /MPRSW No.: County: Sanitary Permit Number: Gale Smith 5690 St. Croix 43637 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: "� -'� N (�, 1 [ � � ��• J/ OYES ONO DYES ❑NO BEDDING: VENT DIA. , VENT A L. HIGH WATER NUMBER d ROAD: PROPERTY / WELL ILDING: I VENT TO FRESH ALARM FIE - ET"IF AOM l� LI f� 1f J s J AIR N ET: ❑YES NO ❑YES 1:1 NO NEAREST N DOSING CHhMBER: MANU FACTUR R. rj I NG: LIQUID CAPACITY. PUMP MODEL PUM IPHON MANUFACTU WARNING LABEL LOCKING CVER PROVIDED: PROVIDED: YES 1:1 NO I i ❑YES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIO L MBER OF PROPERTY WELL: BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) 1 OYES N NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plo g LENGTH DIAMETER J "ATIRIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease ntil V " CE the soil is dry enough to continue.) AIN CONVENTIONAL SYSTEM: WIDTH. LENGTH. NO. OF JDISTR. PIPE SPACING. COVER J INSIDE DIA.: *PITS. LIQUID ° �`i.N' TRENCHES: MA IALt PIT . D111+NSIC>NS L GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE M T RIAL NO. DI R NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPE ABOVE COVER E EV. INLET ELEV END. PIPE LIN AIR I L 1 3 s► 1 III ©M �t w w MOUA SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material f PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound s to make certain t it ON EVERSE SIDE. SHOW ELEVA- meets ttie "cri ria for medium sand TI NS MEASURED. DYES ❑NO A SOIL COVER 1 TEXTURI f P MANENT MARKERS: OBSERVATION WELLS i ❑YES ,<- NO DYES ONO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH(BED ]DEPT OF TOP OIL. SOD D. S DED. MULCHED. CENTER. EDGES. ❑YES ❑NO ❑YES ❑NO ❑YES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: 8ED I- ,y I'4I{' WIDTH: LENGTH NO.OF ES: L ERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER Ix E DONS MANIFOLD PUMP M IFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. ISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. uu� ELE V.. ELEV.: A.. ELEV.. PIP S. DI A.: .ix+'VTpwN AN, �.IFOOMATI[O HOLE SIZE HOLE ACI DRILLED COR ECTLV COVER M ERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: ❑YES 1:1 NO 1:1 YES ONO COMMENTS: PER ENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM# LINE: ❑YES 1 NO OYES 1:1 NO NEAR EST o1 �Z 6 - r � Sketch System on Retain in file for audit. Reverse Side. SIGNATURE TITLE. DILHR SBD 6710 (R. 01/82) I ` ��� DEPARTMENT OF APPLICATION SAFETY &BUILDINGS INDUSTRY FOR SANITARY DIVISION Lq -BOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: /� 6 �- Property Location: City, Village or Township_ County: Sh� '/a 916:' /aS tb dii N/ R fp(or) W �' f C� Lot Number: 1 BIkNo.: ision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: Q (lf assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family * State Approval Required. '? TOTAL NUMBER PREFAB POURED -IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY X X HOLDING TANK CAPACITY LIFT PUMP TANK /SIPHON CHAMBER MANUFACTURER: e EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): El Private C9 Joint ❑ Public -�o I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber. Signature: MP PRSW No.: Phone Number: 6 ,4 /_ S /'/,// I Z...) a 1 (-?1<6 Plumber's Address: Name of Designer: COUNTY /DEPARTMENT USE ONLY Signat a of Issuing Age Fee: / Date: APPROVED Sanitary Per Number: (� ��/ ❑ DISAPPROVED T 3 6 3 9 Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DILHR -SBD -6398 (N.03/81) ^ y S m ith Plumbing & Heating PHONE (715) 265 -4838 /,Vv GLENWOOD CITY, WISCONSIN 54013 �, a� C .3 T Q 4 . J cf Il k et 7 'Q � 1 p , . 1 f,ABC� DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, CC DIVISION BOX HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON WI 53707 LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME: 1 /T3/ N /R/s (or) W 0tes COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: S4- (�r"o i CIS 40"d Lj, h bem �P./P• / &J USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DESCRIPTION: 7 _ 7 1PERCOLATION STS: r 1 -3 Residence XNew ❑Replace �/ 8,3 z RATING: S= Site suitable for system U= Site unsuitable for system e ea Cz / ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: S STEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ©S �U IN] Sou I IMS ❑U ❑ S ®U I I S ❑� G' �iQn ac� If Percolation Tests are NOT re uired DESIGN RATE: S M 4 � If any portion of the lot is in the under s.H63.09(5)(b), indicate: 3 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER IDEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) . B -4 7,Q r �.� B -S 7.0' Q ,3 NO i 7.0 . 166' , 08's/ 70 c B- 6 31 r ka6 e- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PE RIOD 1 PERIOD 2 PER1003 PER INCH P- NO P - 1, 0 MCI P- 3.1 4 3 P -_ P- P- PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. SYSTEM ELEVATION 9a, W ' --*— fib' ---,1 8 _ � _ .� _ � _ � -. t . _ �+ '... ice*+ ••� - E , �,^ -� -_ -_ ,•- _� � - -• I �� . - � ; '7 - a6 -. 3 a.... - _ D I �-m*A r* . 4 A6 tN ..- _- v i ( ; V_ f��. -_ �� �"r•` r b a lie 1 I � E � ( 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: 6- , l e Cam. 8-- /,Z -83 ADDRESS: © CERTIFICATION NUMBER: PHONE NUMBER optional): 17498 6S- 4 /8 &' CST SIGNA RE: DISTRIBUTION: Original -Local Authority, 2nd page- Bureau of Plumbing, 3rd page - Property Owner, 4th page-Soil Tester. DILHR -SBD -6395 (N. 03/81) Form - S 'r C 100 Owner of Property 1f.. l 1 -7 �vRa' It/ 4 1A � � .Location of Property Section — L_,T2Z_N R /5 Township -.� _ Mailing Addreas J Subdivision Name Lot Number Previous Owner of Property "o(RRy CV 'M /, ;;e Total Size of Parcel 1 4 c? Date Parcel Was Created 6 1 ' c 1/ , fZE Are all corners identifiable? x + Yes — No Include with Chia application one of the followine, .Certified Survey Map .Dee .Land Contract, or .Other I:egal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 2 Uf && ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the some has been duly recorded in the Office of the County Register of Deeds, as Document No. ), t � I SIGNA E Of OWN[R SIGNATURE OF CO.OWNER (IF APPLICABLE) l� 1 2 , /OVEN'S' DATE 61 "90 DATE SIGNED 293944 ig #jJ0 jUbtUtUU. Made by Harry Winberg and Minnie Winberg, his vifs,. grantors , of St. Croix County, wimonsin, hmoo COW60 and warrants to Clifford Winberg grantee . of St. Croix the sum of , i the following tract of land in St. Croix County, State of wiscomom: The Southeast Quarter of the Southeast Wuarter ( W of SEA) of Section Twenty -one (21) ; and the N�rtheast Quarter of the Northeast Quarter (111} of NNE) of gectivn Twenty -ei�t t2�� all in Township Thirty -one (31) North, of Range Fifteen (15) West, St. Croix County, Wisconsin. ,U j1 This deed is eiven pursuant to land contract between the parties, which was recorded on -lull 20, 1959 in Va' -jae 359 of Deeds. f 11 �l 5T. Cr?C,,X CO., W 74 h i at �II ,i. in *Utam WItmat, ; 6r said grantor a he veherfarrto tet '. t ha" o mod sew - 4*xa 4th day of Oc . A. d., 19 68 . I� Signed wmt 5eiled in Promence of e ! ..(SSAL) I�I Minnie Win Rh W, Hugh4s f $►13ta __U__12ba.1E.4t F f!ltats K illy ann#att► sa J 3eetion Twenty - one {2 sn t e �+ rt asst sr o the •• 'Vartheast Quarter (NEI of MEk) of Section Twenty - eight t s: all is Township Thirty -one (31) North, of Range Fifteen t15j West, St. Croix County, Wisconsin. Thia deed is given pursuant to land contract between the parties, which was recorded on July 10, 1959 in Volume 359 of Deeds f. I h I� A ..y0't-f a i 7n 4tttltt00 4MIttrat, the acid grantor s ha vehereunto set their hand s and seat 3 this 4th day of October ,A.D.,l9 68. k } Signed sad Sealed in Presence of ! X u .�, _ ` ` ..(SEAL) a r nbetif (SEA il k Minnie W_ nbertt____ i / ..(SEAL; .(SEAL) � Ruth .:_���L�SQ � - -- -- --� ----- - - - -•- - i ii 9 i state st mhtntdin, St„ C roix Cooatr.j aa' 4 Personally came before me, Ms Oath day of October , A. 1 the above named Harry Winberg and Minnie Winberg , his wife to me known to be the persong who executed the forrgoin'g instrum-at and acknowledged *e; same ` JvQph W. HuAhm Notary public, St. Croix Hrls. My commission i S Pw;^m8' J h W Hughes, Attorne at Law New Ric Wisconsin Drafted by_�..S� _ _......._.._._.. _�... w _ _ . `' _ _ 446 P4%E A if Wb, iltfa ywMa Mgt an mousamw Wei! "we Nalab lilda d or "VwlhM *""a 0o ww W Ib � iA�Mr MUUIrMiN .) eD �1. I T A v# c C CD CD T d (/1 3 !p z z z O W C N O �. = _ _ T m a a c co v m 00 Q Q (D ti O O C 3 (D fD 7 y N� A G 1 N N fl- 7 N (� w c:n O O n • 1 C, O G3 O CD a (n N <D a n o a o D U. C N (nzD m aw m cn D N a N 3 O w w o CD c S I CL z m m CD c 3 ! 3 �+ o 000 @• U 1 CD ID 0 o Go � w N m CL CL y N I z rr D m 0 I ' m CL o a CD (n • I �. m CO) �n v M c rye I (D �• V y °7 c m C CL w m z O o �CD `b cn N m m a z 0 o I M w po W CD m a z I 0 m � (D C') w 3 a a CD CL 0 0 c I o a NI � o CI I y I b o cr i N O a I a o w co I � EA O to Parcel #: 014 - 1045 -50 -100 09/05/2006 03:53 PM PAGE 1 OF 1 Alt. Parcel #: 21.31.15.333A 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-owner INGA L & BRADLEY A DOBOSZ O - DOBOSZ, INGA L & BRADLEY A 2876 200TH AVE EMERALD WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 21 T31 N R1 5W PT NE SE & PT SE SE Block/Condo Bldg: BEING N 65 RDS OF NE SE; S 15RDS OF W 12RDS OF NE SE; AND W 12RDS OF SE SE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 21- 31N -15W SE Notes: Parcel History: Date Doc # Vol /Page Type 11/08/2004 779207 2691/030 EZ -U 01/11/2002 668044 1813/315 QC 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/18/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 12,000 62,600 74,600 NO AGRICULTURAL G4 27.600 4,200 0 4,200 NO UNDEVELOPED G5 10.000 9,100 0 9,100 NO Totals for 2006: General Property 39.600 25,300 62,600 87,900 Woodland 0.000 0 0 Totals for 2005: General Property 39.600 25,300 62,600 87,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 571 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent q Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353112 Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: Winberg, Clifford t Town of Fo rest CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 014 - 1045 -80 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosi ng Alt. BM Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header /Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand St cover Model Number GPM TDH Lift Friction System Head TDH Ft oss Forcemain Length Dia. FFff Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER model Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 2882 200th Avenue, Emerald, WI (SE1 /4, SE1 /4, Section 21 T31N -R15W) - 21.31.15.336 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. I Vi sconsin Safety and Buildings Division W. SANITARY PERMIT APPLICATION 2 1 Box ashingtonAvenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. f 5 1 • See reverse side for instructions for completing this application State Sanitary Permit Number 331 12 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application IPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N — ' Property Own r Name , �' / Property Location v �oS Z �rl T �rJ a^ jLDP.ar 114 S�E' 114, S ,71 T N, R Property Owner's Mailing Address Lot Number Block Number z ?8z fo XvCJ, City, State Zip Code Phone Number Subdivision Name or CSM Number ralo� �', Sy2912- 1(71_5')2,65-7A II. TYPE OF 6 I DING: (check one) ❑ State Owned it Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms & ow OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ❑ Apartment/ 1 artment /Condo / Z 7 2 ❑ -Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applic ble) A) 1 E] New 2. ❑ Replacement 3. ❑ Replacement of 4. Reconnection of 5. ❑ Repair of an System - _______System ___ _______ ___ Tank Only______ _______ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit X (a 9 4 ❑ VauI Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEN41;0 W4ATION: c�C. 1. Gallons Per Day 2. Ab o A 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Fin Grade Requi d ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Q2 Elevation �✓ ' ? . `7 / 3• Feet Feet VII. TANK i Ca acct n galIo s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con - Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank ow0ekhri fintk 1000 j ❑ ❑ ❑ ❑ ❑ 1 ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, state, Zip code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Surcharge Fee) 14Approvecl ❑ Owner Given Initial q Adverse Determination OD X. CONDIT NS F APPROVAL / REASONS FOR DISAPPROVAL: CA P3 Co_ C SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber r , INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. On "site sewage systems be properly maintained. The septic tank(s) must be purriped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriatebox depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX: County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer;_D).,cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that have ins t the septic tank presently serving the f i�ber oID C >S residence located at: _ E h J � ;, Section ! fZ , T R Town of �c� r �S� . Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: Did flow back occur from absorption system? Yes No (If no, skip next line) Approximate volume or length of time: gallons minutes Capacity: / Construction: Prefab Concrete 1 Steel Other Manufacturer: (If known): Age of Tank (If known): (Signature) / (Name) Please print � � ��r ��✓'eLr 'z � (Title) (License Number) I - 0 Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection openin ? g� over outlet baffle) . // 7 Name - t) a /6, �- N z�L'��`��'`� Signatur�� /l/L�L AMP /MPRS Z` PeKS • w 1457PAGC 524 EXISTING SEPTIC C=3-1L 0672 SYSTEM AFFIDAVIT KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI Name & Return Addre s /" RECEIVED FOR RECORD C z 8.? Z ton = �� , 09 -20 -1999 1:40 PM Y ` ' ' f4eo l 2, AFFIDAVIT EXEMPT N CERT X00 COPY FEE Y FEE: 2,00 1 & 5 2 -7S — � — - TRANSFER FEE: Parcel I.D. Number RECORDING FEE: 10.00 PAGES: 1 The existing septic system which serves the dwelling being added on to must be verified by an acceptable soil report or be inspected by a licensed soil tester for compliance with high groundwater and /or bedrock separation requirements as set forth in s. COMM Chapter 83.10 (2) WI. Adm. Code. The results of that inspection must be made available to this office. If the existing septic system meets these minimum requirements, and is properly functioning, an addition may be added to the dwelling without updating that system. This addition must not, however, encroach upon the required septic system setbacks as setforth in s. COMM 83.10 (1). Property Owners) (_ l j� o o Property Mailing Address: 2 Z— Property Legal Descriptions Lot # CSM /Subdivision Sec. T�N -R ZJ W, Town of e" O y t� I, as the owner of the above described property, hereby affirm that the septic system serving this dwelling meets the above referenced state private sewage system codes. I realize that this addition may cause the existing septic system to become undersized for a dwelling of the resulting size, and I will make this information available to any future patties interested in purchasing this property. ,���.•'' ..... ... . ga No ary Public ;S sc ed Vic? •�, Date: V _ s to befoz_e ids d��e; Low,re A4 ; a My commission County Approval: oAi - 06 Date: Wsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil 8c Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County include, but not tinuted to vertical and horizontal ref ), direction and St. Croix percent slope, scale or dimensions, north arrow,; ce to nearest road. parcel l.D.# f ` ,. 014- 1045 -80-000 APPLICANT INFORMATION - p/ ,�nnt ail h►fohdl R y Date /'7 Personal information you provide may be used rbek ondary purgesrivacjr mow, x. (1) (m)). G Property Owner N .f�roperty Location Clifford & Caroline Winber ': Govt. Lot SE 1/4 SE 1/4 S 21 T 31 N,R 15 W Property Owner's Mailing Address S t t # Block # Subd. Name or CSM# 2882 200th Ave. City State ip Opde mber ti City Village ❑Town Nearest Road Emerald WI 'I' .715- 79A$1 Forest 200Th Avenue ❑ New Construction Use: ❑ Resi u edrooms 3 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •7 bed, gpd/fF .8 trench, gpd/fF Absorption area required 643 bed, ftZ 562 trench, fe Maximum design loading rate .7 bed, gpolW .8 trench, gpdff Recommended infiltration surface elevation(s) 93.5' bottom of existing drainfield it (as referred to site plan benchmark) Additional design / site considerations Existing mobile home to be replaced with new M.H. Reconnect to existing conventional system. Undersized Parent material Glacial outwash Flood Main elevation, if a icable NA ft S- - Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ®S [I U ❑ S El ® S ❑ U ® S [I u ❑ S ®u ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottl es Structure G PDM Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr Sz Consistence Boundary Roots Bed ;Trench 1 1 0 -6 10yr3 /3 None sl 2fcr mvfr as 2f 0.5 0.6 2 6 -14 1Oyr4/4 None scl 2fsbk mfi as if 0.4 0.5 Ground 3 14 -24 7.5yr4/4 None is lcsbk mvfr gs - 0.5 0:6 elev 95.73' ft 4 24 -96 7.5yr5/6 None Is &gr. Osg ml - - 0.7 0.8 Depth to limiting Z fp G factor >96 Remarks: Horizon #3 consists of coarse sand with high clay content. Clay skirts are observable on individual sand grains. Clay content sufli=t to justify reduced loading rate. 2 1 0 -6 1Oyr3 /3 None sl 2fcr mvfr as 2f 0.5 0.6 2 6 -19 1Oyr4/4 No scl 2fsbk mfi as if 0.4 0.5 Ground 3 19 -26 7.5yr4/4 None 1s Osg ml gs - 0.7 0.8 elev 96.05' ft 4 26 -76 7.5yr5/6 None is &gr. Osg ml - - 0.7 0.8 Depth to limiting factor to >76" Remarks: CST Name (Please Print) Signature: „ ' Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evahwions Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 4020 9/2/99 3602 1099 PROPERTYOIIMNM Clifford & C aroline win>erg SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LDS 0141045 - 80-000 ACE. Soil & Site Evaluations Horizon DPtl Dominant Color Mottles Texture Structure Con sistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 F0 -4 10yr3/3 None s1 2fcr mvfr as 2f 0.5 0.6 1 2 4 -16 10yr4 /4 None scl 2fsbk mfi as If 0.4 0.5 Ground elev 3 16 -27 7.5yr4/4 None Is Icsbk mvfr gs - 0.5 0.6 96.81' ft 4 27 -76 7.5yr5/6 None ls&gr. Osg ml - - 0.7 0.8 Depth to limiting factor >76' 7 Remarks: Ground elev Depth to - -- — limiting factor Remarks: Ground elev Depth to limiting -- factor Remarks: Ground elev Depth to limiting factor Remarks: ' d � ♦ El�ua -Go•, IV .Sca 1/0 eyia& /Gt90gaQ 2�ItiSEi 9 X( e%� wee�,s Loner vU e�6e UU Sc�c�t�n 8 M BI 2�YiSFi o h' it 7C ng S 133 hfv4 /Q A f.� a _. �I!_. _, b u '<cl - J0tar ,5 1 � da�f %,07j 4! ftWle Name �3b�.cum res�deNee) & �e 290 C,v/.ne cv;,7be cva A O -lz 288.2 ,¢fx. 16 76 zoo -9 ,¢,Ae. a ,Zco��4ve. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND i OWNERSHIP CERTIFICATION FORM Owner/Buyer 1C1 n e r 07$ Ct C Mailing Address tee d! Property Address C' - c w 000, _ (Verification required from Planning Department for new construction) Cit) / tatc Ct,5 Q b 01f. el Parcel Identification Number _� q— /t�kj S-- gb LEGAL DESCRIPTION Property Location S E ., 5 %., Sec. a� T 3 l N - R I S W, Town of Subdivision Lot # Certified Survey Map # , l Volume , Page # Warranty Deed It Volume , e # _ s Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM-A AHMNANCE Improperuse aadmatntoaaceofyourseptic systemcouldresaltia itspfailvitto handle wastes. Propermaiabeaaace consists of puarping oat the septic tank every d=e yens or sooner, if neoded by a licensed pumper. What you pat into the system can affect the fimctioa of the septic tank a tVatment stage is the waste disposal.zystcm, lu ProPedY ovracr agrecx to submit to St: Croix Zoning Departmcat a certification foam. signed by the owner and by a masbwpbmbcr. ncst do todphmrbcrora Iioeasodpuaq=verrfying brat (1) fire oa-site wastewaterdisposal system is m proper operating condition and/or (2) after iaspectioti and pumping_(if necessary), the septic-tank is less than W full of sludge. L the g� have read the above requite and agree to maiabia the private sewage disposal system with die standards set folk herein, as set by the Department of Commerce and the Depmt scat of Natural Resources. State of Wisconsin.. Certification stating d YOur Septic System has bees maiatainod must be completod and returned to the St. Croix _County Zoning Office within 30 days of the three year expiration date. N. WA�AAJ OF APPLICANT DATE OWNER CERTIRICATION I (we) ccr* that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of the property descnW above. by virtue of a v arraaty deed recorded in Register of Deeds Office. 0 SIGNA OF APPLICANT DATE s « « « «« Any information that is mis «««««« - rcpraented may result in tl� sanitary penait being revoked by the Zoning Department. «• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed RIVER VALLEY ABSTRACT Fax:715- 386 -7664 Sep 17 '99 13:59 P.01 2 9 Z9 4^A'..: T W "r and Minnie Winber his • wife r • H be ' a , Jtsd� , err its , M OD. .�iiaPl[tLtTP. ! b Y g S graotor,g . of St . Croix County. Wlaoonala, hereby conveys and warrsnts to Clifford WInberg graatwe . oi: St . Croix Canary. Wisconsin. for the aaer of the fallowing trove. of IMM'"- St. Croix Coaaty. State o/ 6sain: The 3of theaat: Quarter of :the, Southeast Quarter. ( i of SS }) of S cfion 'Twenty -oltrie (2:L); and the Northeast Quarter of the ortheast Quarter (NE of NZO of section Twenty -eight (28) /_ all in Township Thirty -one (31) North, of Range Fifteen (15) West, St. Croix County, Wisconsin. This dead is ggivsn ,pursuant to land contract between - the parties, which was recorded on July 10, 1959 in Volume 359 of Deeds. tteGISTERS OFFICE ST. CROIX CO.. WIS. ! Recd for Rcord this- _Z4r!__ day of__9r.%gbnr___A:D.19 at._ it lit Mu ts!!'Imuffm t, l • sdd grantor a .: Jas veierv are their halo mod sod s this 4th dq of October , A. P., is 61k . Signed ad'Saded to J%womes of ? "'� .(SCAL) Minnie Wi , (Sawi -.r. Ruzh A'_ Johnson _ •- St . • Croix Ceniry. s` Personally ata,e befs" are"thls 4th day of c. October A. the above awned • •`` •' Harry Winberg and Minnie Winberg, his wife .,,;� `��::- •.,,_; .�_ to me "ewe to be the p*rasaa wbo -*sweated tie fe gol laatromeet and aoAaowlwdgw '3i e h W. R 1 2 1 I .�-- ablio. St . Croix .1►�a bty oomelm. ton mob= i e P erms- •••' Draftee by Joseah W. Humhes, Ar at Law. New Richmond, Wisconsin ow 446 nv.E217 rwr - o w a.� �..,r. w� .e ..�.....� � �. �r ...e �r...1rr► .r...d � ......� w,�w e.. �.• r e,. r...... SPLES 1 71S 387 2931 1999.08 -06 ROLLOHOME A Product of Wick Building Systems, Inc. P.O. Box 530 - MersMbld WI 54449 - (715)- 387 -2551 Last Page 0 Print on this Page: 08/06/1999 }-y a r r i a 3 Ocf — - -- - o � v� O VAULTED CEILING 12� � � 6'-4 17'-4 _�? l't x o K 6 0PT __ -'- - �� • W OPT VHD 9060 ---_ ___ ____ - _ O .LA NDR - UTl TY -- KI rCREN `_ DIN NG �r; >= -`= BE DR OM 3 _ - fi :: _- : _ _ -- _ ____ s -- ___- _ o __ .t ;;rte .: :__ :__:: __ _ c _- _ -- -- __: _�__r - - -'-'- O r BEDR OM2 ROOM \ •� BEDR�OM 1 G �J / K G G = — == Q G F . 12' -0F 1 C h 0 13 a RHFS- 439 X 44 3BR CK 26 12 3 SQ. FT. Ocrck on y o�clt 01ol- 4;�qll 1 08/06/99 i'i?I 13:01 I'A X NO 6073