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ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner ,7C ,
„>
Address
City /State 7 10 .4
S7
�ouN /J
Legal Description: �; ". "r�G or FICE
Lot V
Block Subdivision/CSM # /G�,(,,t�►^ -� _ `
'/. & Sec., T,&N -RZ&W, Town o ��� PIN # D3 � —/f
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer
Size SUP oSetback from: House 1O Well
Pump manufacturer u,,fe�q Model � -�'
Alarm location
(HOLDING T {S ONLY)
Setbacks: Service Vent to fresh air in Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: 1� Width / �gth � — Number of Trenches
Setback from: House �•__ Well )v-> a, �� Vent to fresh air intake -�'
ELEVATIONS
Description of benchmark ,t�asG
Elevation Ida
Description of alternate benchmar f Elevation
Building Sewer - ST/HT Inlet //
' ST Outlet 6S PC Inlet
PC Bottom =�- Header/Manifold J Top of ST/PC Manhole Cover !J
Distribution Lines (k) ® ( ) ( )
Bottom of System N () ( )
Final Grade (Ad
, Date () ( )
of installation 151 a it numb 7,0 9.2, er 3 7739
+ State plan number � 7,0 9.2, Plumber's signature License number Date S /
Inspector 29C
Complete plot plan
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Y'
Safety and Buildings Division Count ST . CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitart3 u"t_T49.:
Personal information you provice may be used for secondary purposes [Privacy L r, s.15.04 (1)(m)].
PERSELLS , VE ��� mkt �qwn of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM Description: Y Parcel bi fWu1177 -60 -000
1D0 a4� r r
TANK INFORMATION ELEV TION DATA A9800127
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
P �. `_ 1nf t"t Benchma 2 �✓
Se. t� p i 2 ,qo, 102. VC) /0 0
osing �j
Aeration Bldg. Sewer ! .0G
Holding St /Ht Inlet r,.ro3 C O ,?
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. Air I to ROAD Dt Inlet
Air I ntake I/. D Z o v • 3S�
Septic y— / / NA Dt Bottom
Dosing ? NA Header / Man. 2 .I y SOD •a(,
lo2.s'r•
Aeration NA Dist. Pipe a a�' �.a� Z Z
Holding Bot. System ZpI•Z 2q raj. 50 991/
PUMP/ SIPHON INFORMATION Final Grade �� S; 12 161 •VV -? 7
Manufacturer ) Demand C+
Model Number �� ZGPM S� y S S� q �i •�
TDH I Lift I I.62' Friction 2 . System � TDH Iti•• SZFt
Forcemain Length 50' 1 Dia. 2 ' Dist. To Well
SOIL ABSORPTION SYSTEM
TRENCH Width Length 2 No. Of Trenches - PIT No. Of Pits Inside Dia. Liquid D, th
— 6 1MENSIONS DIMENSIONS
SYSTEM TO P/L I BLDG WELL LAKE /STREAM LEACHING anufacturer: _
SETBACK CHAMBER
INFORMATION Type O Model Numb
System:Mh^6 L Q - 7 - 5 - ' ti OR UNIT
DISTRIBUTION SYSTEM
Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
/
Length Dia. �_ Length Dia. Spacin g I 1q rr 3 C�
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over �, Depth Over xx Depth Of , r Z Yes ded / Sodded x Iched
Bed /Trench Centers Bed /Trench Edges Topsoil lZ ❑ No s ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) y '� q �s
LOCATION: STAR PRAIRIE 4.31.18,E,NE 1089 POLK /ST. CROIX CTY ROAD ,
rr / 1 y 3 � y 4'
�.� 7-6/( r� XroM lv r� 2
VVctc
Plan e ion rAquire ❑ Yes f No
Use other side for additional inforrYSation. s c'-? l i gg i L
`�� JS SBD -6710 (R.3/97) Date Inspector's Signature
SANITARY PERMIT APPLICATION 201eE and B Division
Wiscons I P.O. Box 7969
Department of Commerce accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less County �
than 8 1/2 x 11 inches in size. cam . crp )X
• See reverse side for instructions for completing this application State San'ittaarryy Permit Nuumbb(er
The information you provide may be used by other government agency programs ❑ Check if ievisioo previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION O �.
Property Owner Name Property Location
t/jE ^v4, S 4y T , N, R j gE (or)
Propert Owners Mai Addre� Lot Number Block Number
City, State Zi Code Phone Number Subdivisio N me r CSM N ber nn
X01 ( > M
11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ it age Nearest R d
Public 1 or 2 Family Dwelling ❑ Vil - No. of bedrooms own of t _ o C e,,,;, 4,
III. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) 3 ( • / $� O p
1 [] Apartment / Condo 0 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 ❑ Reconnection of S ❑ Repair of an
ol ________ tem ________ System _____________ Tank Only______________ Existing System ________ Exi sting -- -- - yytem
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
1 1&7rSeepage Bed 2>9�Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
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
Require(. ft.) Pro osed (sq. ft.) (Gals/day /sq. ft_) (Min. /inch) c�9 Elevation
0 O /, Feet fFeet
VII. TANK in Capacit Total # of Prefab: Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturer s Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank I 1 2(:2 0 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber >: S00 ❑ 1 ❑ ❑ I ❑ I ❑
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' i ture:JBo St ) MP /MPRSW No.: Business Phone Number:
S 6 00
Plum e Address ( treet, . y, State, Zip Code
/ S y 0G
IX. COUNTY / DEPARTMENT USE ONL
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Is u'ng Agent Signature (No Stamps)
X Approved ❑ Owner Given Initial �d
Adverse Determination Surcharge Fee)
E
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
(R-ttAXQ DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
Safety and Buildings
15837 USH 63
HAYWARD WI 54843 -8107
N ) Pisconsin Tommy G. Thompson, Governor
Departme of Commerce William J. McCoshen, Secretary
April 15, 1998
SHAUN R BIRD, CUST ID No.: 226900
896 68 AVE
AMERY WI 54001
RE: Transaction ID No. 75092
CONDITIONAL APPROVAL
APPROVAL EXPIRES: 04/15/2000
SITE: Site ID No.: 5613
ST CROIX COUNTY, TOWN OF STAR PRAIRIE
E 1/2, NE 1/4, S4, T3 IN, R18
DAVE PRESSELLS
FOR: Description: NEW MOUND
Object Type: POWTS Regulated Object ID No.: 13450
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined
in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of construction,
installation or operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the
address on this letterhead. When making an inquiry or submitting additional information, please refer to
Transaction ID No. 75092.
Sincerely,
DATE RECEIVED 4/9/98
FEE REQUIRED $ 180.00
Leroy G. ansky, Wastewaters pecialist FEE RECEIVED $ 180.00
Field Operations Bureau BALANCE DUE $ 0.00
(715)726 -2544 Voice
(715)726 -2549 Fax
ljansky @commerce.state.wi.us
• v
' PLOT PLAN
PROJECT Dave Pressells ADDRESS 1376 200th Ave New Richmond Wi 54017
E 1/2 NE 1 /4S 4 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 3532 DATE4 /8/98 BEDROOM 4
CONVENTIONAL IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND X)= SEPTIC TANK SIZE 1200 Gallons LIFT TANK SIZE DOSE TANK SIZE800 Gallons
HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 BED SIZE 62.5'X 8'
BENCHMARK V.R.P. Top of Nail in Tree ASSUME ELEVATION 100'
❑ BOREHOLE O WELL *H.R.P Same as Benchmark
SYSTEM ELEVATION 99 . 4
Scale = 1/4 ": = 10'
10% _ � -3
Slope
operty
Line
Pond
B -1 Area 25' Below
System to
Remain
Undisturbed 717'
❑ B -2
System to be Installed
along the 98.4 DT B.M.
Contour Line N Tanks are to be Well to be
ST Properly Bedded Located 50' from
Dose Tank to be Provided System and 25'
with a lockdown cover with a from Septic and
approved warning label Dose Tanks and ,O,W T.S
Pressurized LineC n Llltion ally
A, P I E �M O RF Y OMERCE ED
Pro 4 D ART
Bedroom DIMS N of SAFETY AND RUILDIN"
CD House
r" Driveway ORR� ONDE E
c�
7 5 0 9 2
178' of Road Frontage
Polk/St.Croix County Line Road
• .Designe
Date
Non -Woven Filter Fabric
4" Observation Pipe Perforated
Below Filter Fabric �Disiribution Pipe
ASTN C -33 Sand ;
11 Topsoil _ _ _
� r
Slope
Bed 01 ija— 2 %2 Force Main "- , Flowed
Drain Rock From Pump Layer
'D
C Section Of A Mound System Using E i
A Bed For The Absorption Area F / J
G �
P.O.W.T.S. A Ft. h .S
Conditionally 6 rFt.
PmROV
DEPARTMENT OF COMMERCE
IZIVISI.QN of SAFETY AND BUILDINGS K a Ft.
L Ft.
E C RESP DENCE W Ft.
L
F, 4Observotion Pipe -�
- _
A
W
__ � Force Moin
C
0 --- {----------- - - - - -- From Pump
3
p Distribution Bed Ot % 2 %
Pipe Drain Rock
I �
4 Observation Pipe Permanent Marker
Pipe or Rods
Plan View Of Mound Using A Bed For The Absorption Area
PAGE OF
Page Of
7 1—
Distribution Pipe Detail For A Lateral Network
PVC Force Main
PVC Distribution Pipe
P
PVC M a n i f o l d Pipe P.O,W.T.S.
C Onditionally
APPROVED
X DEPARTMENT OF COMMERCE
S a� t — DIVISION OF SAFETY AND BUILDINGS
X
X
EE C RESNADEN
* Last Hole Should Be Next To End Cap
* 1 Y P bO Ft.
S t.
X —36 Inches I
3 s 9 2 '� 5
Y Inche
Signed: 6 --
Hole Diameter Inch
License Number: 5
�r Lateral Diameter Inch(es)
Date: � U " 9
Manifold Diameter -3 Inches
Force Main Diameter c:-- Inches
# Holes Per Pipe c2L_
Invert Elevation Of Laterals / a", Ft.
PAr F CF
PUMP CHAMI;ER CROSS SECTIOIJ AND SPECIFICA'1I10Q5
VEIJT CAP
1 1 "C.Z. VE "JT PIPE
WEATHERPROOF APPROVED LOCKING
f n JUNCTIOW BOX MA►JHOLE COVER
V = R�^1 DOOR,
WIIJDOW OR FRESH 12 MIU.
AIR IAITAKE
I
GRADE
I 'i MIN. �
COQDUIT -- _________
VV
INLET Conditionally PROVIDE I - - - --
TIGHT SEAL
- T APPROVE
*� A I
DEPARTMENT OF COMMERCE I I I I
DIVISI N OF SAFETY AND BUILDINGS
ALARM
6 E CO, RESPON ENCE/ I I ON
c *APPROVED
JOINTS WITH
ELEV. FT. APPROVED PIPE
3' ONTO PUMP y OFF
D SOLID SOIL
CONCRETE BLOCK
RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL
&.
SEPTIC E 5PECIFICATIQKJS
DOSE
TA NKS MANUFACTURER: ,`� ►DUMBER OF DOSES: PER DAS
TAWK SIZE: 8oy GALLOWS DOSE VOLUME
,/ � C- I,, ��/tC) _ INCLUDING BACKFLOW: � GALLONS
ALARM MANUFACTURER: �/ / a,� S�/STC 2 ( ��
MODEL WUMBER: �1 L CAPACITIES: A= IAICHES OR -� GALLOWS
SWITCH TYPE: sSy`q' IP, mt _ f J� B= INCHES OR 1 40 GALLONS
PUMP MANUFACTURER: V�LAAC14 C. IIJCHES OR GALLOAJS
MODEL NUMBER: D =__rLINCHES OR — - Ja J � - OGALLOUS
SWITCH TYPE: Slticle. 1'Y1yl MOTE: PUMP AND ALARM ARE TO DE
MINIMUM DISCHARGE RATE GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEN PUMP OFF AND DISTRIBUTION PIPE.. ---1--a_ FEET I = aO
+ MIWIMUM NETWORK SUPPLY PRESSUR / . • • • • . • • • . . 2.5 FEET J
+ � FEET OF FORCE MAIN X . 0a F / ooFx FRICTION FACTOR.. °� "U FEET
TOTAL DyWAMIC. HEAD = I �-� FEET
IUTERWAL. DIMENS OF TAWK: LENGTH ;WiOTH ;LIQUID DEPTH .�
51GUED: C %' %� LICENSE AIUMBER: 3 5 -3J DATE :_�/
1 F
GOUld''
Submersible
Effluent Pump
7�w
1 EPO4
3871 EP05
APPLICATIONS • Fasteners: 300 series Fuily submerged in high ■ Motor Housing: Cast iron
stainless steel grade turbine oil for for efficient heat transfer,
Specifically designed for the . Capable of running lubrication and efficient strength, and durability.
following uses: dry without damage to heat transfer. ■ Motor Cover: Thermoplas-
• Effluent systems components. tic cover with integral handle
• Homes Motor: available for automatic and and float switch attachment
• Farms - operation. Automatic points.
• Heavy duty sump EPO4 Single phase: 1 50 oodels include Mechanical
Water transfer 115 or 230 V, 60 Hz, 1550 loaf Switch assembled and ■Power Cable: Severe duty
•
• Water RPM, built in overload with ,reset at the factory. rated oil and water resistant.
automatic reset. ■ Bearings: Upper and lower
SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEAT heavy duty ball bearing
115 V, 60 Hz, 1550 RPM, construction.
Pump: EPO4 built in overload with A EPO4 Impeller: Thermo-
• Solids handling capability: automatic reset. 1lastic Semi -open design AGENCY LISTING
3 /4" maximum. • Power cord: 10 foot with pump out vanes for
• Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian Standards Association
• Total heads: up to 24 feet. with three prong grounding m EF05 Impeller: Thermo-
• Discharge size: 1'12" NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers
• im
Mechanical seal: carbon- length, 16/3 SJTW with proved performance. end in "F" or "AC ".)
rotary /ceramic - stationary, three p ron g g roundin ng P lu 9
BUNA - elastomers. (standard on FP05). ■Casing and Base: Rugged
thermoplastic design provides
• Tenlperanue:
104°F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET,__._ -
stainless steel, 10
• Capable of running +
dry without damage to s 30 - __ _ _ I - ��.-s M
components.
Pump: EP05
e t-2.s Fr
• Solids handling capability: 0 25 _ - - --
7
LU
• Capacities: up to 60 GPM. s 20 -- - - - -- - - }- - -- �- i- _,
1 a
• Total heads: up to 31 feet. I
• Discharge size: 1 NPT. Z 5
• Mechanical seal: carbon- '
rotary/ceramic- stationary, 4
o 15 - - - -- j - - -.__. EP05 ,
BUNA -N elastomers. o
( o) - - - - -- - - -+
EP0
• T em pe r a tur e. F continuous ~ 3 10 — - a
140','F(600C) intermittent. 5 -- __
2 1
2
0 00 - -- 10 20 30 40 0 GPM
'e�t J _6 3 a L ,
G 2 i 6 8 10 12 m� /h
CAPACITY
G 1995 Goulds Pumps. inc.
Eflective May, 1995
83871
r Wl sconsin Department of Industry SOIL AND SITE EVALUATION
Labor and Human Relations -� Page / of
Division of Safety and Buildings in accordance wlt IhF,1�, f is.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz 'Plan must
include, but not limited to: vertical and horizontal reference point (BM), ' ection 1_; ) b
percent slope, scale or dimensions, north arrow, and location and dis nse to nea rent road. , par #
APPLICANT INFORMATION - Please print all informafig �: , ;<< � r vy}we by Date
Personal information you provide may be used for secondary purposes (Privacy Law, -s. 15.04 (�')�(m)).
Property Owner ,�u NQ /� Property L io ' p
7.
U /4-11,6/4,S 7 T 3 � ,N,R O E (or) W
Property Ow is Mailing Address L61'1R Subd. Name or CSM#
1/9 - 49 -Z /7y�
City a State Zip Code Phone Number � ��/� Nearest Road o/k
C �/ �' i k / N� /S �✓i 024 1(71r ) �.�',�.Y�c� City u ill age Town
91 - New Construction Use: [Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow A, gpd Recommended design loading rate bed, gpd/f ° 3 trench, gpd /ft
Absorption area required bed, ft �' �" trench, ft 2 Maximum design loading rate bed, gpd/ft ° 3 trench, gpd /ft
Recommended infiltration surface elevation(s) —� ft (as referred to site plan benchmark)
Additional design /site considerations c7� 4 �tii 7 d ble-
Parent material Flood plain elevation, if applicable '`– ft
S = Suitable for system I Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank
U = Unsuitable for system I ❑ s Rr u 2 S ❑ U 1 ❑ S 8- ❑ s Peu ❑ s V u ❑ s X u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground a Y"" nE.y..�.–
Depth to
limiting
factor
�7'Co in.
Remarks:
Boring #
13 / � D
j `� ._ 75 3 i t 1 � 1 �� I %a6,t n.,,'�'� 07 �S — • L • 3
Ground Y 7.Sy� l` `7 (.o cTG�f �•-, L/ t ' / Al e / � - .
�u .,.
Depth to
limiting
factor
in. Remarks:
CST Nam lease Print) Signature Telephone No.
Address Date CST Number
/ �� �' v. �yc �8,�3 �� , z /99� a
3�, Z
Qj
IN
S � l
L
-v
` 3
r�
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Address FD �/� / ('/ O / �C ✓ �^
(Verification required from Planning Department for new construction)
City /State 1_V ��C,c� '7
i4 J'4 arcel Identification Number
LE GAL DESCRIPTION
Property Location 'j,, '/,, Sec. , T 3 / N -R / � W, Town of al ' p
Subdivision , Lot # �.
Certified Survey Map # , Volume , Page # --
Warranty Deed # S 7 y , Volume �J 12 , Page # o17
Spec house ❑ yes-j:�'no Lot lines identifiableTl�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.
Q ` 2 1 :;3
�SIGN 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office.
H
SIGNATOkE 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
R/ W
s.00 °oo'06 W. 691.00 //p th Street 20 9.00'
M t0 — — '
' "_•_'_._ -- 33.00
S.00
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i 5 �.5
- -.- -- 246.85 - - -- 205.00 - + -- ° -5_ 20 205.00 'o pp �j VII p 0 00
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6 I SETBACK LINE_ -. M r� N 0 �i W
O
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O o Q N H `t _ v, Q $ I S.00 00 0 VII.
,
M M o . 209.00 32 ~off
S.00 241.00 ��
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100' h e ui o ; � - 3 $ 0�4
A �o O a i
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205.00 -' 205.00 0 0
I I 235. 50 N N
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