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HomeMy WebLinkAbout038-1189-30-000 Wisconsin,DepartmentofCommerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: X Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344601 ir Per SATTERLUND � SA 4 El Cit9 f: State Plan ID No.: - CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Crn .27 W ^ P 038- 1189 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B5 HI FS ELEV. Septic Benchmark Dosing Aeratio Bldg. Sewer Holding St /Ht Inlet 8`,a� 96 TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. vent to ROAD Air Intake Septic NA Dosing NA Header / Man. ; S 4JC 'fo Aeratio NA Dist. Pipe Holding Bot. System b +3 `F I2 Qo PUMP / SIPHON INFORMATION Final Grade 30 1$, .7 Manufacturer De d `J .�' ��• c Model Number GPM TDH Lift L oss ion e TDH Ft Fo main I Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM 3' x (Z Ciew.,LWS 0. c� K-8-Ct Width I Len th No. f T enches PIT No. Of Pits Inside Dia. Liquid Depth DIME 3 S Z I DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING u c rer SETBACK CHAMBER INFORMATION Type Of ► i M del Numberr System: 0 w + OR UNIT �u DISTRIBUTION SYSTEM Header/Manifold q Distribution Pipe(s) I x Hole Size x Hole Spacing Vent To Air Intake r Length — j rp,L Dia. Length ia. Spacing > I QO 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 Q No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) t R S" ter•• - LOCATI N: ST PRAIRIE 13.31.18.965 1342 214TH AVE - NORTH ATE LOT 16 fY to "-& � ,� (, • se,r > 34 " � - • � /ewe. `�er ro��� a An �j Ad-10L s� Plan revision required? ❑ Yes 14 No / CV Use other side for additional information. I Ofl 1 SBD -f Date Inspector's Signature Cert. No T• CROIX COUNTY ZONING D Owner AS BUI LT SANITARY REPOR RTNT o S� Address Ci tY tate Legal De scri Ption Lot Block Subdivision/CS 4, Sec. TN_ W /�. - SEPTIC ' Town of TANK ` PIN # _DOSE C,��ER _ T� manufacturer HOLDING T Pump m anufacturer Size ST/pC,/ ANK INFORMATION: Alarm location Model �— Setback fro W 4�� m: House (HOLDING TgNKS O ell P > S � Setbacks: �' Meter location se road �— vent to Alarm location air i Water Line SOLI' ABSORPTIOly S ySTE M. Type of system: Setback from: Width House Len ELEV Well �` t t— Number of Trench ATI fresh air intake Description of benchmark Description of alternate benchmark /l Elevation Ga Buil Sewer , f Elevati ST/HT Inlet PC Bo ST Bott —_ Header/M� nifol Outlet PC Inlet Distribution d Lines (l) To p Of S Manhole Cover Bottom of System F in al nal Grade ( ) Date of i nstallation " / l � C;1 1 '� rermit number J % ev Plumber's signature State Plan number Inspector License number � Q � Z Date j D� Complete Ploi plan .r swami ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e 8 � _ _ i ® a E i m t p € _ k d e d B � ....... ....... .... . .... , ... ,, r. _.. >..... .. ,. ... ..,, .... a -„ .. ,... ,.. .. w 4 ..v.mb -b< E � S 5�. _ t 9 e s 3 � ; 9 i 1 e Y j i = 5 i x = i e { i t f i ®..aF m =. ..a... ._.,�®. „_._., em. , If 7 Q E F i e "" °- °m ®.... a.t. a <. d,,. ... � 9 3 a ,._.... —... .® } _.. t ' � S 7 � E s r 9 } ...... _.. a t 3 e A 0 1 ) 9 S � . ..... .. ....... ... .........._ .,_ . a.,. .,_ ...< .........._ ,. ,....._, w ......:�.,, m,,._� : <..w ... .w .... ,,�.,, ... 3 ............ a .. .. ��..... .. f .,.m ,� -.,.. i_,_._ _,., .�...,. ,m....... �..,.,,....�._,. ...„ ....t.,w.® w e..am. �.-- ..:...,.F t [ )roV jde the following' stem• please in every NOTICE thing within 100 feet of the sy plan view sketch shows g ole cover. A po i n ts to center Of septic tank maw Two horizontal reference p licable. Show alternate benchmark, if apP LAN VIES 7 y INDICATB NORTH SOW 5 SANITARY PERMIT APPLICATION Safety and Buildings Division Vi scons i n 201 W. Washington Avenue P O Box 7302 Department of Commerce In accord with ILHR 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 8 112 x 11 inches in size. �.�/ • See reverse side for instructions for completing this application State Sanitary Permit Number 3 4 &&eq/ Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATI N Property Owner Nam P� Property v 1l4, $ T , N, R (O Property Owner's Mailing Address Lot Number / Block Number f ! GO Ci , tate r 1 Zip Code Phone Number Subdivision Name o �,c I Number I � Via/ ( ;' s- !1' l C c . TYPE OF BUILDING: (check one) ❑ State Owned [I itia Nearest Road Vil Public 1 or 2 Family Dwelling - No_ of bedrooms Town OF S ��' �'u'`'� t / III BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 . l4 , QI 1 ❑ Apartment/ Condo fJ �� 30 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. ❑ Reconnection of 5. ❑ Repair of an ______System ________ System _____________ Tank Only______________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Dis ion lQ�`+� / Ex p ntal Other 11 ❑ Seepage Bed 21 ❑ Mound ` j j U FQ0 ❑ > ify Type 41 []Holding Tank 12J;Oeepage Trench 22 ❑ In -Grou essure 2 42 ❑ Pit Privy 13 ❑ Seepage Pit r �° sr �9 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: S 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) a (Min. /inch) Eleva on Q 6 27 J. ��T Feet Feet Capacity Site VII TANK in gall Total # Of Prefab. Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name concrete con- steel glass Plastic App New Existin strutted Tanks Tanks OC Septic Tank or Holding Tank L ♦ El El El 1:1 1:1 Lift Pump Tank /Siphon Chamberl I I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb , Name: (Print) Plu 's Signature: (No Sta mp MP /MPRSW No.: Business Phone Number: Plum b sAddress (Street, City, State, Zip Co ): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued ing Agent Signature (No Stamps) ` � t (�" tl / Approved E] Owner Given Initial Surcharge Fee) 1 �- pp Adverse Determinatio X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) 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 may be renewed before the expiration date, and at a time of renewal any new criteria in the f 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. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usual) ever 2 to 3 years. Y Y Y 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. 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 smal ler 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. f pie �72 o � �O Wisconsin Department of Commerce Division of Safety and Buildings Pa of Bur'hau of Integrated services in accordance with s. I is. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in siz Plan must include, but not limited to: vertical and horizontal reference point (BM) #Keion an;° percent slope, scale or dimensions, north arrow, and location and di �1:o nearest'toad APPLICANT INFORMATION - Please print all inform _ h. 4. p Re by Date Personal information 1 r ),, _ you Provide maybe used for secondary Purposes (Privacy . x:15.04 (t , Property Owner �, p (iC 4r_- `Govt.,Lot_ .. �4 �1 /4,S� T ,N,R 4 E Property Owner's Address I t Subd. Name or Ci fate Zip Code Phone Number Neal Road ❑ city ❑ V'dlage Town < 0 1, YOl �J d� r$��J`(/ Rt/r✓�_ C7Y c c _ New Construction Use: .®'Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate _ bed, gpolbt gpd/fi Absorption area required bed, ft ft Maximum design loading rate — Z- bed, gpd/(t gpd/ft Recommended infiltration surface elevation(s) / /�ft�(ass referred to site plan benchmark) Additional design /site considerations vvu�w -Q 4► r #,#C�c + % ze qLu fel Parent material Cy - cc Cc- a Flood plain elevation, if applicable it S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system s ❑ u J's ❑ U JR ❑ U _RS ❑ U ❑ S J2�u ❑ s ®'u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 13 / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench _ D e— � 44j� e Ground ate elev. Depth to R 2 ' limiting 3 L 2 factor Remarks: Boring # 0 � - ©� 5• ` � �' -mo Ground Depth to limiting factor >A_10�1n. Remarks: CST Na (Please Print � Signature Telephone No. Air Date CST Number C SOIL DESCRIPTION REPORT PROPERTY OWNE Gr k Page of . I PARCEL I.D.# w Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench . 2 - Ground ® �,- elev. Depth to limiting t) 1 factor Remarks: Boring # Ground . J � ft Depth to limiting factor '/-O in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # or r . Z Ground lev er ft. Depth to limiting 70.19 factor min. Remarks: Boring # [3 Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) t Soil Test P of P � lan 'P�r oject Name Address Byron ird Jr, � i Lot Subdivision Date g Township Boring O Well PL Property Line County 0 BM or vRP Assume Eievatlo 100 'ft, System Elevation *HRP G. C 90 GAD o -- �- �c �4 Y� Scale 1/4" = 10 1~t. When Dimensions aren't stated Wi ^cousin Department of Industry SOIL AND S 1 T E EVALUATION REP 0 R T Page of L>r and Human Relations D*ision 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 distance to nearest road. 038 - 1055';»10 APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION VIE ED BY DATE PROPERTY OWNER: PROPERTY LOCATION Greenwood Enterprises, se In GOVT. LOT NE 1/4 SW 1 /4,S 13 T 31 N,R 18 Ror) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1416 Third St. 16 mnr CITY, STATE ZIP CODE PHONE NUMBER [:]CITY ❑VILLAGE KF7OWN NEAREST ROAD Hudson, WI. 54016 ( 71t 38 —3674 Star Pr;iirit- 214th Ave. (x] New Construction Use[K] Residential/ Number of bedrooms 4 [ ] Addition to existing building j } Replacement [ } Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate _ bed, gpd /ft gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate -7 ed, gpd /0 trench, gpd /ft Recommended infiltration surface elevation(s) 95.00 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 AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S OU R1 ❑U ®S ❑U ®S ❑U ®S El El �U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munseil Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr& ................. 1 1 0 -12 1 0 r 2 1 2msbk mfr QW if .51 .6 2 12 -26 10 r 4 4 none sicl 2msbk mfr QW Ground 3 26 -84 7.5 r 4/4 none cos OS CT ml na na .7 .8 elev. 9 9.0 ft. Depth to limiting factor T. y Remarks: Boring # 1 0 -11 10 r 2/2 none 1 lcsbk mfr w if .4� .5 2 2 11 -29 10 r 4/4 none si 1 lcsbk mfr QW if .2 .3 Ground 3 29 -84 7.5 r 4/4 none cos osq ml na - na 1 .7: .8 elev. 99. O ft. Depth toj� r limiting F. factor +84 19` Remarks: L zoN 2urvr> CST Name: -- Please Print Gary L. Steel Phone: 715 -246 -6200 % / _ Address: 1554 200th. Ave ew Richmo WI 54017 c Signature: (� Date: 10 -28 -98 CST Number: m02298 x PROPERTY OWNER Greenwood Enterpr SOIL DESCRIPTION REPORT Page 2 of — PARCEL I.D. # 038- 1055 -10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boaxnlary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmnch g 1 0 -12 10 r 2 none 1 lcsbk mfr if .4 .5 w Ground 3 24 -84 7.5 r 4/4 none cos 0scl ml na na .7 .8 elev. ' gg�gft. Depth to limiting factor *84 1 L Remarks: Boring # 1 0 -11 10 r 2 2 none 1 2msbk mfr qw if .5 .6 4 '> 2 11 -26 10 r 4/4 n one sici lcsbk mfr gw if .2 .3 LM Ground 3 26 -84 7.5 r 4/4 none ms osg ml na na .7q .8 elev. 98,Z ft. — Depth to -- limiting factor +84 11 Remarks: Boring # - lcsbk mfr w if .4: .5 5 2 12 -30 10 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 30 -84 7.5 r 4/4 none cos osg ml na na .7 .8 elev. 9 8.7 ft. Depth to limiting factor +84 1, Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Greenwood Enterprises, Inc. New Richmond, WI 54017 MPRSW -3254 NE4SW4 S13- T31N -R18W (715) 246 -6200 town of Star Prarie lot #16- NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM.= top ofl "pvc pipe @ el.100' Alt. BM.= top of 1 pvc pipe el. 100.10' /0 o i7 c� x- Gary L. Steel 10 -28 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property AddressA 51/ f J (Verification required from Planning Department for new construction) City /State /f � c1 rrro Parcel Identification Number � LE GAL DESCRIPTION Property Location Sec. N- R Town of /ter Subdivision , Lot # Certified Survey Map # A6 e 3 3 �� , Volume , Page # Warranty Deed # ,�e97� 3 , volume # Spec house ❑ yes'"` no Lot lines identifiable 14 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 master plumber, journeyman plumber, restricted plumber or 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 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 days of the three year expiration date. 3 SIGNATURE OF APPLICANT 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 desc 'bed above, by vi ue 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 tills application: a stamped warranty deed from the Register of Deeds office j a copy of the certified survey map if reference is made in the warranty deed J VoL 1444PAGE 56 I& CP STATE BAR OF WISCONSIN FORM 1 - 1998 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Greenwood Enterprises. Inc. a Wisconsin RECEIVED FOR RECORD corporation Grantor, and Samuel T Satterlund and Donna J. Satterlund. husband and wife as survivorship_ marital property Grantee. 07-23 -1999 9:20 AM Grantor, for a valuable consideration, conveys to Grantee the following WARRANTY DEED described real estate in St. Croix County, State of Wisconsin (The "Property"): EXEMPT # CERT COPY FEE: COPY FEE: TRANSFER FEE: 56.70 RECORDING FEE: 10.00 PAGES: 1 N. Recording Area amg and Ret Address 03 g - //89 - 30 Parcel Identification Number (PIN) This is not homestead property. (is not) Lot 16 of the Plat of NorthGate, recorded in the Office of the Register of Deeds for St. Croix County, Wisconsin on May 20, 1999 in Volume 7 of Plats, at Page 46 as Document No. 603503. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this ,/Z_ y of 1999 GRE OD ENTER ,I By: * *Ja s . Rusch, its president V. * *Mary R. s s secre AUTHENTICATION ACKNOWLEDGMENT Signature(s) James E. Rusch, its president STATE OF WISCONSIN ) ) ss. St. Croix County ) - this day of July, 19 ersonally came before me this /.3 day of 1999 the above named Mary R. Rusch, its s etar to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Lois A. M ray TITLE: MEMBER If not, a authorized by § 706.06, Wis. Stats.) Otary Public, State of Wisconsin THIS INSTRUMENT WAS DRAFTED BY M + Co miss'on . perm ncnt. (if not, state expiration date: Lois A. Murray, Zilz, Estreen & Ogland, LLP l 2, �) 304 Locust Street, Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 - I"S INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI .. 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