HomeMy WebLinkAbout032-2116-80-000 ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
July 15, 2002
Aimee Schoenborn
563217 1h Ave.
Somerset, WI 54025
Subject: Minor Home Occupation
ation � p
Dear Mrs. Schoenborn:
r
Thank you for your inquiry regarding minor home occupation regulations in St. C roix County. Pursuant to our
conversation, you indicated that you intend to have an in -home beauty salon at your residence.
Staff finds that the proposal for an in -home beauty salon at your residence (563 217 Ave., Somerset, Wisconsin) complies
with the "Minor Home Occupation" performance standards and meets the spirit and intent of the St. Croix County Zoning
Ordinance for the following reasons:
• Minor home occupations are allowed without a permit or hearing.
• The business will be conducted from the principal residence.
• The septic is of adequate size for this use.
• 15 % of the floor area is devoted for the business.
• A separate parking space will be provided for the salon clients.
• A separate entrance will be provided for the salon clients.
• One employee.
• Signage is not proposed.
If the scope of the project changes, please contact the Zoning Office immediately so we can assess the project to
ascertain if additional zoning approvals are necessary.
Please contact Ed Schachtner, at 247 -5982 or 247 -3269, Chairman for the Town of Somerset, to inquire if other local
approvals are necessary. If you have questions relating to this matter, please do not hesitate to call. You can reach
me at the number above, Monday — Friday, 8:00 a.m. — 5:00 p.m.
Sincerely,
Rod Eslinger
Zoning Specialist
Cc: Jeri Koester, Town clerk
file
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Rod Eslinger
From: Jansky, Leroy [ljansky @commerce.state.wi.us]
Sent: Friday, June 07, 2002 6:22 AM
To: 'Rod Eslinger'
0� l I
Subject: RE: Hair salon
SOunds like this use will be okay. Have the owner submit to you, in
writing, the occupancy and use information stated. If there are <= 6
occupants a one station salon and one employee (the owner) should be
�—
acceptable. More than 6 occupants or more than one station would not be
acceptable without flow monitoring. No state approvals required, just
county review and approval.
a �V1 I /1 Q (� L► OWt.E t�t c 1
- - - -- Original Message - - - -- �" r
From: Rod Eslinger
To: Leroy Jansky (E -mail)
Sent: 6/6/02 10:58 AM
Subject: Hair salon
Hello,
I v p owner who wishes tooperate a hair salon from her
ha e a p perry o e p
home. The POWTS was installed in 99' by O'Connell, sized as a four
bedroom system, supposedly only three - bedrooms are being occupied at
this time. Are there any additional state approvals required for a
POWTS in order for this property owner to operate a hair salon out of
her home?
She will be the only one involved with the business and will only have
one styling chair. She doesn't need any additional approval from zoning
to do this minor home business.
If state approval is necessary, what's required to be submitted and
what's the review fee.
Thanks
I
Rod Eslinger
Zoning Specialist
Zoning Department
1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386 -4680
Fax: (715) 386 -4686
<mailto :rode @co.saint - croix.wi.us> mailto :rode @co.saint - croix.wi.us
I 1
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
"M +6 1101 Carmichael Road
Hudson, WI 54016 -7710
_ (715) 386 -4680
i
December 13, 1999
I
Hartman Homes, Inc.
Attn: Chad
P.O. box 326
Somerset, WI 54025
RE: Septic Inspection for Doug Schoenborn located at 563 217` Avenue,
Lot 11 of Shadow Pines, Town of Somerset, St. Croix County, Wisconsin
Dear Chad:
A septic inspection of the above referenced property was conducted on November 5,
1999. This property is located in the SW' /4 of the NE' /4 of Section 15, T31 N -R1 9W, Lot 11
of Shadow Pines, Town of Somerset, St. Croix County, Wisconsin. At the time of the
inspection, this septic system was found to be code compliant for a four (4) bedroom
home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Sincerely,
bdltk—
Kevin Grabau
Zoning Technician
sm
1101 Carmichael Road
Hudson, WI 54016 Croix County
Phone: (715) 386 -4680
Fax: (715) 386 -4686 Zoning 1 - •
Fc A ix
To: Chad From: Shawna Moe
Fax: 247 -3090 Date: December 13, 1 999
Phone: Pages: 2
Re: inspection Report - D. Schoenborn CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
•Comments:
ST. CROIX COUNTY ZONING DEPARTMENT
' AS BUILT SANITARY REPORT
Owner
Property Address
City /State '
Legal Description: Ut1wn-
Lot JL Block — Subdivision/CSM # 7 Vv o
1 /4,46L _ ' /4, Sec. 2 TAN -RAW, Town of t , VIX
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer s Size ST/PC ,�,?M / Setback from: House 12 Well P/L-;; 7J 'T
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: Width 1-�2 Length Number of Trenches
Setback from: House Z2, Well ,9k P/L 7 -s - o Vent to fresh air intake t s✓'S
ELEVATIONS
Description of benchmark Elevation 5
Description of alternate benchmark Orgl Elevation
Building Sewer ST/HT Inlet 97. , ST Outlet 99 PC Inlet
PC Bottom Header/Manifold ��,? �� Top of ST/PC Manhole Cover
Distribution Lines O
Bottom of System ( ) 9/.
Final Grade () 9--.?,Zl () ( )
Date of installation ///,5 / P mit number State plan number
Plumber's signature License number /Y Date
Inspector '
Complete plot plan Or
i
e
s
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division
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)]. 353115
Permit Holder's Name: ❑ City ❑ Village Q Town of: State Plan ID No.:
Town of Somerset
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.:
032 - 2116 -80 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark y 0� 3► a
Dosing Alt. BM a7, ( 60, Z
Aeration Bldg. Sewer 3, ��- �B� S�
Holding St /Ht Inlet DG Z(o
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. Ventto ROAD
Air Intake
Septic > ] n I >(.0, 0 — NA
Dosing NA Header / Man. r • 9 to
Aeration NA Dist. Pipe Q q• 'o q.2 .5-2-
Holding Bot. System � 94 S"�L--
PUMP / SIPHON INFORMATION Final Grade �$, cJ3, W
Man er Demand St cover 3•'B`t
Model Number GPM
TDH Lift L oss riction System Ft
e
For ain I Length Did. Dist. To Well
SOIL ABSORPTION SYSTEM
W4/ H Width f Lengt i No. Of IFewriae PIT No. Of P Inside Dia. Liquid Depth
EN I N � : DIMENSION
SETBACK
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING acturer: INFORMATION Type Of / f CHAMBE Mo elNum
System: C P1tMJ , 7 l� 1(0 ��� OR U
DISTRIBUTION SYSTEM
Header anifold % Distribution Pipe(s) f x Hole Size x Hole Spacing Vent To Air Intake
Length Dia Ai Length I Z Dia. [ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 'AI
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: 11 15 - 191 Inspection #2:
Location: 563 563 217th Avenue, Somerset, WI (SW1 /4, NE1 /4, Section 15 T31N -R19W) - 15.31.19.1068
Plan revision required? ❑ Yes No
Use other side for additional informat on. 1 0S 1 02- 1 0 '
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No
Safety and Buildings Division
Al SANITARY PERMIT APPLICATION 201 W. Washington Avenue
In accord with ILHR 83.05 Wis. Adm_Code P O Box 7302
Department of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the cwi e , crr- paper-Aot.less. County
than 8 1/2 x 11 inches in size. (+C
• See reverse side for instructions for completing this a I tion RECENV a ; State Sanitary Permit Number
co
Personal information you provide may be used for secondary purpose EP T ? QE) Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)1- 15Co3 l 1 7 t1t ST � °
tate Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT INFORNMilION
ProDectv Owner Name IING06Wy Locati
S T r N, R
Property ner's Mailing Address LbtMrtl Block Number
City, ate Zip Code Phone Number Subdivision Name gr CSM Number
Sx — ( ) l
111 TYPE ILDI G: (check one) ❑ State Owned o it Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms ❑ Tow OF I
III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
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 applicable)
A) 1. p4 New 2_ ❑ Replacement 3. E] Replacement of 4 E) Reconnection of 5. E3 Repair of an
__System ________ System_____________ Tank Only______________ Existing System ________ Existing System
B) [ Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 r' Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 1 t 43 ❑ Vault Privy
14 ❑ System -In -Fill Z < - + % 4
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ch) Elevation
S , Feet Feet
VII Capacity
TANK in g allons Total # Of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel glass Plastic App
New lExisting strutted
Tanksl Tank
eptic Tank I ❑ ❑ C1 1:1 1:1
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for in tallation of the onsite sewage system shown on the attached plans.
Plumb r' ame (Print) Plumbe S at =Cr�s) MP /MPRSW No.: Business Phone Number:
z/ - -i
S�
Plumber's dress (Street, City, ate, Zip e):
, 5
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Iss ���,,,,,,^^^,,, gent Signature (No Stamps)
%jApproved ❑ Surcharge fee) Owner Given Initial
Adverse Determination /0
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 639$ (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
i
INSTRUCTIONS '
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be 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 plumper requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped 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 appropriate box 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.
Vlll. 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.
see 1S' TSI,4 X - 1y'14)
,mod
ae'
S°/
w isconsi6 Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page 1 of 3
Bureau,0 Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in sizv.,1 'MY St L ~�7 � County
include, but not limited to: vertical and horizontal reference point (BM) i[ectibti and St. Croix
percent slope, scale or dimensions, north arrow, and location and di aft 410 ne est'�ad. Par I I.D. #
cU
APPLICANT INFORMATION - Please print all infor Lion , Revie y Date
Personal information you provide may be used for secondary purposes (Priv Lev s 15.W(1yf m)�. F t 4 2 q
Property Owner ; , PrpI-�Vcation J
T
Richard Stout !G1b 46jFFl%nj,f 14NE 1 /4,s 15 T 31 ,N,R 19 E (or )(w
Property Owner's Mailing Address � f #_. B,leck# , ..,Subd. Name or CSM#
,-
1353 Awatukee Trail `` �� i ' `��' °� Shadow Pines
City State Zip Code Phone Number ❑ City ❑ Village KI Town Nearest Road
Hudson Wi 4016 715 X49 -6731 Somerset 160th Street
® New Construction Use: ® Residential / Number of bedrooms 4 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd/fF . 8 trench, gpd /ft
Absorption area required 89R _ bed, ft 7 5 0 trench, ft 2 Maximum design loading rate 7 _ bed, gpd /ft &_ trench, gpd/ft
Recommended infiltration surface elevation(s) S p ft (as referred to site plan benchmark) pian
Additional design /site considerations
Parent material COC 2 Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = unsuitable for system ®S ❑ U U s ❑ u O S ❑ U I ®s ❑ U EIS E ❑ S k] U
SOIL DESCRIPTION REPORT
Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1 -14 10yr2/1 ls 2 M4 - 5 1 K
2 14-84 10yr4/6 -- s osq ml cs
--
Ground
elev.
9 5 .2 O ft.
Depth to
limiting
in.
Remarks:
Boring #
1 -
4 10 r2/1 -- p A
2 2 -81 10yr4/6 -- s osg ml cs
Ground
elev.
95 .20 ft.
�Z 8
Depth to
limiting
factor
8-1— in. Remarks:
CST ame (Please Print) Signature Telephone No.
,��� _ z
Address Date CST Number
Richard Stout SOIL DESCRIPTION REPORT 2 '
PROPERTY OWNER — Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
3 1 0 -6 1 0yr2 /1 -- is 2 M4,&,� mfr cs if .7 ; .8
2 6-89 10yr4/6 -- ms osg ml cs -- .7 .8
Ground
elev.
91 .60 ft.
Depth to
limiting
factor
8 9 in. '
Remarks:
Boring #
1 0 -1 C 1 0yr2 /1 -- is 2 vr,A -bir, mfr cs if .7 '.8
4 2 10-E8 10yr4/6 -- ms osg ml cs -- .7 '.8
Ground
elev.
94 ft.
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # 1 0 -6 1 0yr2 /1 -- sil 2 (h4O mfr cs 1 f . 5 .6
5 2 6 -6 10yr3/6 -- is 1sg ml cs -- .7 .8
3 60- 00 10yr4/ -- ms osg ml cs -- .7'.8
Ground
elev.
90 ft.
Depth to
limiting
factor
1011 — ' n ' Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
' Remarks:
SBD -8330 (R. 07/96)
JJ
en ck ma rk (t ( <u, i 00' cede r 4-t
enekw�c�r�,�ei�v, 10�� ,�8°"oa��tce
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Vi
moo' • �'�
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SYSTEM ELEVATION AND SIZING CALCULATIONS
Below Grade Aggregate Soil Absorption Systems
Permit Number 9/20/99 Date
X X. Gravity Distribution
only 1 Pressure Distribution
3 ft Suitable Soil 1
6 in Aggregate Depth 2
4 in Nominal Pipe Diameter
600 gpd Estimated Daily Peak Flow
0.70 gpd /ft Wastewater Infiltration Rate
857.1 ft Minimum SAS Size
91.70 Ift Proposed SAS Elevation
Soil Surface Acceptable Finished Grade EL 3 (ft)
Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum
Number Elevation (ft) Depth (in) Lowest Highest Elevation? 94.20 96.03
1 95.20 84 91.20 93.70 Yes
2 95.20 81 91.45 93.70 Yes
41 94.20 88 89.87 92.70 Yes
1. Depth of suitable soil required below the infiltrative surface for treatment.
2. Depth of aggregate below distribution pipe.
3. Based on chosen system elevation, and aggregate depth. The addition of
fill for cover or the reduction of finished grade may be required to meet
minimum or maximum code standards.
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
SBD- 10553 -E (R.05/98)
OCT-09-99 10:02 PM BELISLE EXCAVATING 7132473038+ P.01
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer 0 Ck o b
Mailing Address ery I e u) A
Property Address fy /J F
(Veritleation required from Plannin= Department for new construction)
CitylState �om P,t'f� Ct�, Parcel Identification Number
LEGAL DESCRIPTION
Property Location F 1 /4, Sec. �, T_3_(_I`- 22 ,Town of
Subdivision �N � v , , Lot #
Certified Survey Map # , Volume Page #
Warranty Deed # (0 T , Volume _ �� , Page # 3
Spec house 0 yes �no Lot lines identifable l 4es O no
OMM- MAINTENANCE I
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can afr'ect the function of the septic tank as a treatment sage in the waste disposal system,
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
mssterplumber, journoyman plumber. restrictedplumberor a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and'or (2) after inspection and pumping (if necessary), the septic tank is less than 113 fall of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wiscoitsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
da of the three r � p�ration date. (�> C4 ?
2 f
ICl TVIt]e; F PLICAr�"C DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the ownet(a) of
describe bove, by virtu f a wa.7anty deed recorded in Register of Deeds Office.
SIGN APPLICANT DATE
•••••• Any information that is mis- represented may result in the sanitary permit being revoked by the ZoninS Department. ••• "•
•• Include with this applicstlon. a stamped warranty deed from the Register of Deeds ofrice
a copy of the certified suNcy map if reference is made in the warranty deed
STATE BAR OF WISCONSIN FORM 1 — 1982 61044& 4
WARRANTY DEED KATHLEEN H. WALSH
DOCUMENT NO. � SOO WI
�,( 1 1DO PA�� T. CRIX CO.,
RECEIVED FOR RECORD
This Deed made between RICHARD 0- STOUT and 09 -16 -1999 12:30 PM
JANET P STOUT husband and wife
WARRANTY DEED
EXEMPT N
Grantor, CERT COPY FEE:
and DOUGLAS J. SCHOENBORN and ATMEE j- COPY FEE:
SCHOENBORN husband and wife TRANSFER FEE: 141.00
RECORDING FEE: 10.00
PAGES: 1
Grantee,
Witnesseth That the said Grantor, for a valuable considerati
conveys to Grantee the following described real estate in St C THIS SPACE RESERVED FOR RECORDING DATA
County State of Wisconsin: NAME AND RETURN ADDRESS
Lot 1 1 , Plat of Shadow Pines, Town of Somerset, l � r{
St. Croix County, Wisconsin. v
/,i�L S,W
032- 1042 - 30;1042 - 40;1042 -50
UAR M1941CAI&
This i ,ano.1- homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And Richard 0 stal-It anr3 .Tantat F—. S'tQklz
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, restrictions, rights -of -way and covenants of record,
and will warrant and defend the same.
Dated this 1 4t-h day of September ,19 )
Richard 0. Stout (SEAL) Janet P. Stout (SEAL)
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
ss.
Count .
authenticated this day of 19 P;arsonallycame before me this day of
195, the above named
Rich rd O- Stout and Janet P-
staut
TITLE: MEMBER STATE BAR OF WISCONSIN _a`� G�
(If not, r AP
authorized by §706.06, Wis. Stats.) _ 2� �(,. o known to be the person —s who executed the foregoing
ment and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY r ; _
Janet P. Stout
- udson Wi _ 5401 h "'�� + uu11lik `�� Nota P blic, 1'n1�l
, Count}; Wis.
, ares may be authenticated or acknowledged. Both are not My ission is 9- ermanent. (If not, state expiration date:
:.>
rsons signing in any capacity should by typed or printed below their signatures.
STATE 13AR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
EED Form No. I - 1982 Milwaukee, Wis.
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