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Parcel #: 038 - 1055 - 20-400 10/06/2005 07 :40 AM
PAGE 1 OF 7
Alt. Parcel M 13.31.18.237E 038 - TOWN OF STAR PRAIRIE
Current XJ ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
O = C urrent Owner
Tax Address: Owner(s): C e , C = Current Co - Owner
FRANK H & BERNICE H SPRINGER O - SPRINGER, FRANK H & BERNICE H
1301 214TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description " 1301 214TH AVE
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.983 Plat: 3548 -CSM 13/3548
SEC 13 T31N R18W NW SW BEING LOT 3 CSM Block/Condo Bldg: LOT 3
13/3548 EZC AS DESC 1413/326 FOR ROW CTH
C Tract(s): (Sec- Twn -Rng 401/4 1601/4)
13 -31 N-1 8W
Notes: Parcel History:
Date Doc # Vol /Page Type
08/30/1999 609465 1452/485 WD
07/07/1999 606396 1440/186 WD
03/25/1999 600044 1413/326 QC
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.983 31,900 209,100 241,000 NO
I
Totals for 2005:
General Property 1.983 31,900 209,100 241,000
Woodland 0.000 0 0
Totals for 2004:
General Property 1.983 31,900 209,100 241,000
Woodland 0.000 0 0
Lottery Credit: Batch # 519
i � Claim Count: 1 Certification Date:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
I
Total 0.00 0.00 0.00
• Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count
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)]. 353120
Permit Holder's Name: ❑ City ❑ Village [� Town of: State Plan ID No.:
Town of Star Prairie
T B E - e F: ( Insp. BM Elev.: BM Description: Parcel Tax No.:
1QQ O • r SE Ie# s'E-�� Aag- 1 055-20-000
TANK INFORMATION ELEVATION DATA t3, 3/. (9r 108
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic VV, M04, Benchmark 3. s Io3 6D 'D
Dosing Q Alt. BM /0 • 2_1'
Aeration Bldg. Sewer ( 1 q - I
Holding St /Ht Inlet b.�n 94 - 2St
TANK SETBACK INFORMATION St/ Ht Outlet C.
TANK TO P/ L WELL BLDG. Ventto ROAD 94 Infet--
Air Intake
Septic >(00 NA
Dosing Header / Man.
Aeration NA Dist. Pipe 94 C/71
Holding Bot. System �
PUMP/ SIPHON INFORMATION Final Grade ,(a Z co. 33'
Ma facturer
I Demand
St cover S O
`I S Z
Model Number GPM
Y TDH Lift L Iction stem TDH Ft
For ain Length Dia Dist. To
SOIL ABSORPTION SYSTEM
ice$ Width r Length I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
D IMENSIONS 3 1 5&p •2S 2- DIMENSION
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O r CHAMBER Model Number:
—�
System: �"r�' a � � OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold tt Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length ee— Dia - E ia. i 3o
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: 1 Inspection #2: tt'
Location: 1301 ''14th Avgnue, New Richmond, WI (NW1 /4, SW1 /4, Section 13 T31N -R18W) - 13.31.18.237E
Plan revision required? 171 Yes No #=
Use other side for additional information. 1 4++ 1
�(, SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
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SANITARY PERMIT APPLI ION Safety and B 201 W. Washington n Avenue
�.
`VI sconsin 1 P O Box 7302
Department of Commerce In accord with Comm 83.05, ' . d �t.C4d T1. 9/ ` Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the sys n p err[lrit lest ownty •
than 81/2 x 11 inches in size. <.. s f�lt�'
�
E0 77 cA"tow
'' to
• See reverse side for instructions for completing this apple a 1:� n � -� Sanitary Permit Number
Personal information you provide may be used for secondary ur '` C k if revision to previous application
1301�
[Privacy Law, s. 15.04 (1) (m)]. ST CROX
s COUNTY tht Plan I.D. Number
I. APPLICATION INFORMATION - PLEA RINT AL L 9 (�Ii�MJA[511®
Prop Owner Nam of Property L ioyt
±AA.dhm� �56, 1 4 3 T 3 , N, R (or) W
Property Owner's Mailing Ad ess , A Lo Block Number
Cit , St to dZip Code Phone Number bdivision Name or CSM Number
s ( 2)s - 1^ 91311 - - - -3s y 13
II. TYPE ILDIN (check one) ❑ State Owned 7V ° It a Nearest Roa
Public 1 or 2 Family Dwelling - No. of bedrooms ° ro wn OF
111 BUILDING SE: (If building type is public, check all that apply) Parcel Tax Num ,�
1 ❑ Apartment/ Condo 6 � G7 0
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. [ New 2 ❑ Replacement 3 ❑ Replacement of 4 E] Reconnection of 5 E] Repair of an
---- '_ ________ 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
12ASeepage Trench 22 ❑ In- Ground Pressure 7 / 42 ❑ Pit Privy
13 ❑ Seepage Pit x o- 3 ❑ Ila It Privy
Sr
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) Elevation
L ino I� mom 4 7S•6% 5eet 8 weet TANK Ca acit
VII. INFORMATION in gallo Total # of Manufacturer's Name Prefab. C Steel Fiber- Plastic Exper.
New Existin Gallons Tanks concrete structed glass App.
T nks Tanks
Septic Tan ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamberl I I ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plum s (P nt) Plumb Sign re: (No a s) PR SW No.: Business Phone Number:
W�u I r iaj
Plum ers�ddress (Seet, City State, ode):
IX. COUNTY // DEPARTMENT USE ONLY �
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate ssue Issuing / entSignature (No Stamps)
VAp proved []Owner Given Initial Surcharge fee)
Adverse Determination
w Q
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary Oermit is valid W two (2) years.
�f
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 plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
Fj
county prior to install�ti.ctn _
5- Onsite sLwage systems must be properly maintained The septic tank(s) must be purnped�y a licensed pumper wienever
necessary, usually every 2 to 3 years-
6. If you havequestioras concerning ycturonsie sevva,gpsCSjgm,rcor2tact your local codadrmj,nitorrtha State of >�
WisconsiiY; Safety an -B6iI gs'Division, 60 6 1 1 r '' { ' w -• t �= ' = i # ��"''
h` .._.. 'r
To be complete and accurate this sanitary permit applicatlon must include:
I. Property own�r' *nary ., *ana- tpbi.l`rng adare�s. Arovide 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-
VIII. Responsibility statement- Installing plumber is to fill in name, license number wittt4 pptypri$te:prefix (e -g- MP, ety.),
address and phone number.. Plumber sign application form..r ,
IX. County De�a�.tment Use Dhly
4,
X. County / Department Use Only.
Co. plete pla'hs.aQe $' cification6vAot smaller tha 8 1/2 x 1 ti mhes-rhast be subm itted tQ The county. The ptans must
c. ucle the following: A) plot plan, drawn to scare or with complete dimensions,location ofholding 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; frictiorii"ass; pump ,p�rfo[m� rve; pump mpdokand pump r. �aryufacturer ;__D).. cross section
s
of the soil absorption system if required 6y the tounfy; E) soil test data on al 15 form; grid q all sizing information. -
----------------------------------------------------------------------------------------------------
GAQ R Sl10CHAR6E
1�8� Wisconsin Act 410 included the creation of surcharges (fees) far a humber.of regulatedpractices which can
effect groundwater ;,, , ; •, ..� '
�.;
The monies collected through these surcharges are used for ?Monitoring groundwater contamination investigations
and establishment of standards.
Greenvood Enterprises, Inc.
NASA S13 T31N -R18W
tom of Star Prarie
4 -lot #3-csm
1"-40•
BM.- top of SE lot stake 4 el. 100'
Alt. BM- top of NE lot stake 0 el. 100.45' L
N u; Vt�PA all �( �� l � ��� � ��� �3• %�� ��r�=
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50� �m
/00d
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Humaq Relations
Division-of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix
not limited to vertical and horizontal reference point (BM)_direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distanperl6 nd'areM ro 038- 1055 -20 -000
� R IEWE BY DATE
APPLICANT INFORMATION - PLEASE INT`ALL INF09Q
A.
t'
y
PROPERTY OWNER: ROPERTY LOCATION
Greenwood Enter rises, I r � t VT. LOT 1/4 SW 1/4 T 31 N,R 1 8 (or) W
PROPERTY OWNERS MAILING ADDRESS t �� X98 i --LOT # BLOCK SUBD. NAME OR CSM #
1416 Third St. 1 3 na csm
CITY, STATE ZIP CODE 1 PHONE W CITY VILLAGE RFOWN NEAREST ROAD
Hudson, WI. 5 4016 (71 ' "
Jrc) New Construction Use (x] Residential /'Numberpfb6d _ r1 ( ] Addition to existing building
( ] Replacement [ ] Public or commerciaTcrttl
Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /0 gpd /ft
Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft
Recommended infiltration surface elevation(s) 95.65 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem M S 111. ®S ❑ U ®S Q U fL1 S O U M s Q U EIS
C$U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Bed Trench
1
1 0 -12 10yr3 /3 none 1 2msbk mfr gw if .5 .6
2 12 -36 10yr4 /4 none sil lcsbk mfr gw if .2 .3
Ground 3 36 -84 7.5yr4/6 none HIS Osg ml na na .7 .8
elev.
9 8.69 ft.
Depth to
limiting
factor
Remarks:
Boring #
1 0 -14 10yr3 /3 none 1 2csbk mfr gw if .5 .6
2 14 -26 10yr4 /4 none sil 2csbk mfr gw if .5 .6
3 26 -84 7.5yr4/6 none ms Osg ml na na .7 .8
Ground
elev.
99 ft.
Depth to
limiting
factor
+84
Rem s:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th. Ave., New Ric and WI 54017
Signature: Date: 10 -13 -98 CST Number: m02298
PROPERTY OWNER Greenwood Enterpri DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # 038- 1055 -20 -000
Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft
Boring # Horizon in. Munsell Gu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
1 0 -12 10yr2 /2 none 1 2msbk mfr gw if .5 .6
2 12-31 10yr4 /4 none sil lcsbk mfr gw if .2 .3
Ground 3 31-84 7.5yr4/6 none ms Osg ml na na .7 .8
elev.
98 65ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
1 0 -12 10yr2 /2 none 1 2msbk mfr gw if .5 .6
4 '« 2 12 10ry4 /4 none sil lcsbk mfr gw if .2 �.3
3 29-84 7.5yr4/6 none ms Osg ml na na .7 .8
Ground
elev.
9 c): ft.
Depth to
limiting
factor
+
Remarks:
Boring #
1 0 -11 10yr2 /2 none 1 2msbk mfr gw if .5 .6
.< 5 ;< 2 11 -2 1flyr4 /4 none sit 1 csbk mfr gw if .2 ' . 3
U
3 29-84 7.5yr4/6 none ms Osg ml na na .7 .8
Ground
elev.
U,4 ft.
Depth to
limiting
factor
+R4"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.054'92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Greenwood Enterprises, Inc. New Richmond, WI 54017
MPRSW -3254 NW 4S�g S13 T31N - R18W (715) 246 -6200
town of Star Prarie
1 lot #3 -csm
N
1 =40'
BM.= top of SE lot stake @ el. 100'
Alt. BM.= top of NE lot stake C el. 100.45'
r
V
Gary L. Steel
10 -13 -98
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
r
Owner/Buyer X02 A .5'0 Iv g-5
Mailing Address 6'
X30/ �,
Property Address ,
(Verification required from Planning Department for new construction)
City/State D Parcel Identification Number D 3
i
LEGAL DESCRIPTION
Property Location '/4, S ( V Sec. , T_,�LN -R AA W. Town of
Subdivision 1 Gs �2� Lot # _.
Certified Survey Map # 5213 / , Volume 13 Page # 3
Warranty Deed - Volume Page # 8
Spec house ❑ yes 19 no Lot lines identifiable V yes ❑ no
SYSTEM MAINTENANCE
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 affect the function of the septic tank as a treatment stage 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
masterplumber, joureymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, 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 Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
s of the ee year expiration date.
8/ /
SIGNATURE OF APPL ANT 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 owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit 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
1
v17,..1452PA 485
6d9
STATE BAR OF WISCONSIN FORM 2 _ 1998 KATHLEEN H. WALSH
D entNtmttxr W D REGISTER OF DEEDS _J_ ST. CROIX CO., WI
This Deed, made between Be r . Ko and Shirle K
husband end wife RECEIVED FOR RECDRD
95 -30 -1999 8 :00 AM
WARRANTY DEED
Grantor, EXEMPT N
conveys and warrants to Frank H Sprineer and Bernice H Sprin p� CERT COPY FEE:
husband K COPY FEE:
TRANSFER FEE, 55.50
RECORDING FEE: lo.00
PAGES: I
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in St Croix County, State of Wisconsin _ Recording Area
(The "Property "): Name and Return Address
nJ S T3 - 1�1 Vy -
038. 1055 -20
etnification umber (Pll+f)
This its not homestead properly.
Lot 3 of Certified Survey Map filed November 10, 1998 in Vol. 13, Page 3548, Doc. No. 591311, located in part of the NW
114 of SW 114 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin.
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this 26' � '" J ay of August, 1999.
'Bernald'1. Kopp
*Shirley F. Kopp —
AUTIENTICATION ACKNOWLEDGNMM
STATE OF WISCONSIN )
Signature(s) Bernard J. Kopp and Shirley F Knnrs ) ss.
hind and wife County )
authenticated Personally came before me this day of June ,
this ?1 day of August, 1999. 1999, the above named
to me known to be the
person(s) who executed the foregoing instrument and
Kristina Og nd acknowledge the same.
TITLE: MEMBER STATE BAR OF WISCONSIN
r
(If not,
authorized by § 706.06, Wis. Stats.) Notary Public, State of Wisconsin
My Commission is permanent. (If not, state expiration date:
THIS INSTRUMENT WAS DRAFTED BY _ )
Attorney Kristin Ogland
Hudson, WI 54016
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
*Names of persons signing in any capacity should be typed or primed below their signatures
WARNANTE DEED STATE RAN OF WiSCONSiN
FORM Nn. a -10%
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800.655-2021
f � -
r
FILED
NOV1 01998►
tvmnEFr+KwtusH -
- c�
X91311 ti _ `'
CERTIFIED SURVEY MAP
GREENWOOD ENTERPRISES, INC.
Part of the Northwest 114 of the .Southwest 1 of Section 13, Township 31 North, Range 18 West, Town of
Star Prairie, St. Croix County, Wisconsin.
yl M W 11 COR. SEC. /3, r3/ N, RJR W
co ` t couN r SURYl Yom NON./
lV� !f)I VI q S/ONEASEAwENT
UNPL A T TED L
` I I
� S19•O. +'T 6 "E IBO. Of'
I Or f+
0 ' 420. 00'
LLL { O
so _ 6O' to LOT 3 ;
C O Q I 1, 963 ACRES
• c - ! ae, 38 so. Fr.
1 n O I 1, 737 ACRES EXC. ROAD Or. 0. W. q
H a o ! 73, 3 66 Se FT. Q p
o c J h at
�
t I N 69 "W 460.01'
W W j
q I =
420.00' W � 1 N
LOT 4 I
1.983 ACRES
Q. • la !W 66,366 SO. FT.
Z x I h 1.733 ACRES II k. N
I f 73,366 SO. Fr.
_�_ro0r Io 4 3
a N
60.0/ • _ _ 1 20 • I 426.00'
3 N69 "W 460.01'
q COf maAt Ac"Ss WgsamsAor
e UNP LANDS
SW COR. SEC. 13, r it N, R /6 W,
1COUNrY SURVEYOR'S NON.! arN�j1141tf14
SCALE 1 "' /00'
o so' 100 /so' 200' 300' LA E : S
ST }W PHY1 C=
�= 1713 =a.
R ER FALLS,.,
fit► WISc. Q i
Legend.' L A NB S,`.•�
o 1 "x 2 "iron pipe weighing 1:13 Ibs.Rin. ft. set.
R (19.00) Previously recorded data. Laurence W. Murphy
istered Land Surveyor
Owner's Addre4s:
1416 Third St.
Hudson, Wl 54016 SHEET 1 OF 3
Dated: ,Veplembei-28, 1998 "Revised this 2nd day of November, 1998."
This instrument drafted by Laurence W. Murphy
Vol.13 Page 3548
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