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HomeMy WebLinkAbout022-2003-95-000 ~o°• I CD "0 I ° 0 N o o a 4 w e c o g $ c m " o 0 Z c vi m a (co ~a m :O~U ~o may c o ~v rt rn rn O rn y c s ~ MZZ ami w m \ Ln o~ o c c t o -n 0L o - y E oo m 0>o c o o U= ~ a m I m E I rT N o C U) T _O O a) 2 Eo;_°m Z m *6 5) 0 a) c to d Z> d m Z C 00 w o C M L N U IL C E 3 L C LL C>1 to cO~6Lo ° N Ew ~jj 3 Ex 3 a ~m 0z coca a wt~~ v M Cl) CD (2 Y! Z Z E E o " o Z d d € d °D am am co F- fn I O I O z C c Q' r > > a o w o o m z c c to F- E E Zz a~ v I v rn ED fO N t O N d O 7 D. N 7 N a) N N y cn C O C O U CO 0 ~Cp ZmZ zF-z N z m I m N I E - E m m r O v N ~ l0 0) m Ali o p, NO C in U H d N~ 3 a a) a1 C O O m G G a O, G G a o c N o mmN _3 m mmN w 3 az Z ~ I a a a `o • m LL a a a O O N > co co m > co co rn } rn O to J U rn Z O cU N N 0 m 0 Y . ~ _ N ~ O O •O ~ ~ O _ w m y C m y C d c a) M PM (n d O ii d Q fn !0 QI } a) p 9 O V 7 w 7 a~ a 00 O N C 11 N C E O n O O r ~ (p U N O m O C -O N N V p c C~ o I C9 o r V t`x,} P..' N ao E y Z E ayi a) Z c N v •O om (D Z5t- C7 o z ~cn N N C C~ O N E C O N E •m ~ I i2 E V ~ a~`~~ €a I da E ! L: a a `Iv E ` .E c I r~ o m r 3 t A t~a2 Oav Oaic) 'Parcel 022-2003-95-025 01/04/2006 04:28 PM . PAGE 1 OF 1 Alt. Parcel 36.28.18.567A 022 - TOWN OF KINNICKINNIC 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 O - GRIMM, GARY A & JUDITH S GARYA & JUDITH S GRIMM 1404 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1404 CTY RD M SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 45.000 Plat: N/A-NOT AVAILABLE SEC 36 T28N R18W SW NW & PT SE NW EXC AS Block/Condo Bldg: DESC IN WD 2352-387 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2003 734336 2352/387 WD 04/18/2002 676642 1874/555 WD 07/21/1970 301378 463/262 LC 2005 SUMMARY Bill Fair Market Value: Assessed with: 144093 Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 43.000 6,500 0 6,500 NO OTHER G7 2.000 30,000 210,500 240,500 NO Totals for 2005: General Property 45.000 36,500 210,500 247,000 Woodland 0.000 0 0 Totals for 2004: General Property 45.000 21,500 149,400 170,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 104 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-2004-10-025 01/04/2006 04:28 PM PAGE 1 OF 1 Alt. Parcel 36.28.18.568A 022 - TOWN OF KINNICKINNIC current k 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 0 - GRIMM, MATTHEW A MATTHEW A GRIMM 1404 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 42.850 Plat: N/A-NOT AVAILABLE SEC 36 T28N R18W PT SW NE & PT SE NW COM Block/Condo Bldg: NW COR OF SE NW POB; TH ELY TO N/S LINE ON E BOUNDARY OF W 20 ACRES OF SW NE; TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SLY TO NE COR OF PARCEL DESC IN 848/69; 36-28N-18W TH WLY 290.39'; TH SLY 323.39'; TH W TO PT BEING 330'E OF SW COR OF SE NW; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2003 734336 2352/387 WD 04/18/2002 676642 1874/555 WD 07/21/1970 301378 463/262 LC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 144094 Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.850 6,200 0 6,200 NO OTHER G7 2.000 50,000 66,100 116,100 NO Totals for 2005: General Property 42.850 56,200 66,100 122,300 Woodland 0.000 0 0 Totals for 2004: General Property 42.850 26,200 54,800 81,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC J4 W-N-R&W ADDRESS IP~ d C° r 1 C~GS'L°- ~AO r.~ WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 S NO RING WITHIN 100 FEET OF SYSTEM h S A i I di a e o th Arrow SCAL : BENCHMARK: (Permanent reference Point) RDescribe: Pj,,C o Elevation of vertical reference point: 16 D Slope at site: C~e SEPTIC TANK: Manufacturer : Lest (`mss Liquid Capacity: Number of rings on cover : I Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal.-pump-set or a cyc e_ gallons; total capacity o distribution lines gallon:. size of pump head; gallon per minute horsepower ran name of pump and model number ; ..Type of warning device HOLDING TANK: Manufacturer Number of gallons DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI SJ707 [IN CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number: ❑ Holding Tank El In-Ground Pressure D Mound (If assigned) I YOM NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION D ATE: Gary GAi.mm R. R. 2, RiveA 1=aM, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV. SW NW, Section 36, T2 8N-R 18W, Town aj K-inn cFii.nnic Name of Plumber: MP/MPRSW No. JCounty Sanitary Permit Number: Thom" Wang I3231 St. Cnaix 49490 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL JLOCK G R q ? C, P OV DED: PRO D /1. YES ❑NO YES ❑NO BEDDING: VENT CIA.:' VENT MAT1I~.. HIGH WAT NUMBER OF ROAD: PROPERTY WELL BOILDING: (VENT TO FRESH V/f✓I/1 ALARM FEET FROM LINE / AIR INLET: ❑ YES NO ❑ Np NEAREST DOSING CAMBER: MANUFACTURER. 71NG L IQUID CAPACITY PUMP MODELPUMP/SIPHON MNUFACTURERARNING LABEL LOCKING COVER ROVIDED: PROVIDEDES ❑NO DYES ONO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMB OF WELL BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET] ROM LINE AIR INLET PUMP ON AND OFF) DYES ❑NO NE ST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing EPJ , H u1AMEr R MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE 1 the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH L !~4H NO OF DISTR PIPE SPACING COVER NSIUE DIA *PITS LIQUID TR EOiCkSE,S MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL D PTH DISTR. PI DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROP E ~Y W L BUILDING: VENT TO FRESH BELOW PIPES ` ABOS~VER V11N/L T. ELEV. END. tom/ PIPES i LINE: \o~ AIR INLET: FEET t1/O_~ / l O Z~ 7 2 / NEAR FROM ✓ Q 7EST 201 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ES ❑NO DYES ❑NO DEPTH OVER TRENCH/BED 71EPTH OVER TRENCH/BED DEPTH OF TOPSOIL. DDED. ISEEDED. IMULCHED: CENTER DGES. ES NO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SP(C G: JG DEPTH BELOW IPE FILL DEPTH ABOVE COVER TRENCHES: J DIMENSIONS / MANIFOLD PUMP MANIFOLD DISTR. PI MANIFOLD MATERIAL: O. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEV.: ELE V.. DIA.. ELEV. . IPES: DIA. ELEVATION AND : DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: DYES ❑NO DYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER :0OF PROPERTY WELL: BUILDING: FEET FROM LINE: YES ONO DYES ONO NEAREST -7, Z~ Sketch System on ` Retain in co y file for d'3, Reverse Side. SIGN ~ TITLE: DILHR SBD 6710 (R. 01/82) 7Z-,s ronslrl APPLICATION FOR SANITARY PERMIT D I L H R (PLB 67) OUNTY UNIFORM SANITARY PERMIT 1Er1T OF yyy US RV,LRBOR 6MUTR1-IFELF7TI01-IS ~ L/ -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROP TY OWNER ` MAILING D RE a r . C u elt A PROPERTY LOC TION CITY: VILLAGE- ° 57J 111/4, S 3,ro , T.9 n N, R E (or N n of LOT NUMBER IBLOCK NUMBER ISUBDIVISION NAME NEARS T ROAD LAKE OR LANDMARK STATEPLAN .D. NUMBER TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy El Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. IM Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of lumber (Print): Signature: MP/MPRSW No.: Phone Number: ~J 3a3 (yv) f Plumber's Addres : Name esigner: S a COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: F e: Date: ❑ Disapproved 0'. &Ay~tA_2 Approved El Owner Given Initial / Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: HR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398' To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the, block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractpr,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property O.7 l f' S 1- /)P A19 Location of Property Section 3 , T _k N - R 1 W Township / ► / 0 /1 / C. /12 4) ),C- Mailing Address ZK 'Ica Subdivision Name Lot Number J Previous Owner of Property Total Size of Parcel to Date Parcel was Created I V. G! GI LI -oU104~1irrv, p4*~ &aw,6E,- 07 -Z C Are all corners and lot lines identifiable? X,_ Yes No y Is this property being developed for resale (spec house) ? Yes 2- No Volume and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the.Certified Survey Map shall also be required. PROPFRTy OWNER CERTIFICATION 1 (We) eeht%6y that a.Qe statement6 on this 4ohm oAe tAue to the best o4 my (oU ) k.nowtedge; that I (we) am (are) the owner(h) o6 the prope ty degc4i.bed in tAiz in6o-~cmati.on 6o4m, by vi tue o6 a wcvvcanty deed neeoTded in the 066ice o6 the County RegizteA o6 Deeds as Document No. 3 7X' and that I (we) H rl, r.j y STC - 105 r r y SEP'T'IC TANK MAINTENANCE AGREEMENT H St. Croix County d y OWNER/BUYER _-a..,T ROUTE/BOX NUMBER-//?2' 2 /3csx 17 p Fire Number 410 2, C I `I' Y/ S'1' A'I' E I P _X, Q 2 Z PROPERTY LOCATION: J %4, _L J1/_-4, Section 3 T 2$ _N, R_/jr _W, Tow of //~ylckihi~ic St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed s_~tic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents maa be eligible to receive a grant for a maximum of 60% of the cost of replacement.of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new stems agree to keep their systems properly maintained The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping .(if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. ti 0 I/WE, the undersigned, have read the above requirements and agree Ln to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- n ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED_ DATE__A& tA4 St. Croix County Zoning Office P.O. hox 98 Hammond, WI 54015 715-7~ 6-2239 or 715-425-8363 Sign, date and return to above address. ` STATE OF WISCONSIN-FORM NO. 36 Ii LAND CONTRACT'-INDIVIDUAL AND CORPORATE DOCUMENT NO. •I • x. c. MILLER co.. MILWAUKEE Section 235.16 Wisconsin Statutes G,.-.~.nrn ,---also.-lcno~~..a->~.......F.•.. Grf>~nj---,and---Bsxx~ice.Gri~uj--- i CONTRACT by and between...- Olph r A n . er one o tnore, h-is.-lr3,fe-A, herein called Ve dor whe or h - and..--Gary_.Grimm----..~d__J r i, husband and wife as Joint tenanta9 - -•--••--------------------------------------•---••-------•-------------------------------herein called Purchaser, whether one or more, WITNESSETN: That the Vendor, i consideration of the payments to be made and the covenants and agreements by the Purchaser to be performed, as hereinafter set forth, hereby sells and agrees to convey unto the Purchaser, upon the prompt and full performance by the Purchaser of the covenants and agreements of this contract to be by the Purchaser performed, the following described real estate in St.Croix ..........................County, State of Wisconsin, to-wit: The Northwest Quarter of Section Thirty-Six W,14-36)* Township Twenty-E t (28) North i Range Eighteen (18) West. o the West twenty (20) acres of the Nort=Quarter (NEI) of Section Thirty-Six (36), T reship Twenty-eight (28) North, Range Eighteen (18) West,- except for the following part lss (a) Conzaencing at a int 23 eet East of the Northwest corner of the East Half of the Northwest Quarter (E •14) of id Section 36, thence West 25 feet, thence South 25 feet, thence North3terly to-the int of beginning C apart of the West 20 a (of ,t} Pe occ i d t , ,r r _1d i l ~iorhee s uarrer eY~ rf I Id tc &s foil rs tC n t the Southeast corner o said res., thence t^7es Zesouh ~in® o saidonr~s Qv~x 208.71 feet; thence Borth al a line parallel with the East line of said 20 acre tract 01 Ii land 208.71 feet; thence Eas parallel Vrith said, South dine 208.71 feet. to • sa3.d East Lne; thence South 208.73 feet to he point of beginning. 1 square acre,, IncludiM the road ,i r•i l~t~f~-ray. ~ ~ Ali ji o thq Ea- o (2) ~s o hQ So heag~ ua ter of No h st Q e1 TY1irty-five ~5Y#" Ta`mship Ttr t, I Z' P3 or ~i, Ramie eon s t." ) of Sect e (2 ~I Subject to existing hig1nmys and to easements and rights-of uray of record. together with all buildings, improvements, fixtures and appurtenances, now or hereafter erected thereon, including all screen and storm doors and windows, attached mirrors, fixtures, shades, attached floor covering, hot water heater, furnace, oil tank and light fixtures which shall be a part of the real estate. . The Purchaser, in consideration of the covenants and agreements herein made by the Vendor, agrees to purchase the above described premises, and to pay therefor to the Vendor at _Blver..FaUsiz--Wigoon3~,-_ar•---- such ---place -aa-Yendor-directs- the sum of_a Fifty--Thousand Z11d---no 100 Dollars, in manner following: c,,~ (~5 s_ $ No--down paynlo s'ei 4 ,,LA_U~ acknowledged, and the balance of $ 30,Qp_-00 together with inters t on such portions thereof as shall remain from time to time unpaid, at the rate of F'iVe .(5H) per cent per annum, until paid in full, as follow Said principal and interest shall be payable in---- -semi-annual _ .................installments of not less than $_..1.00Q.00- Pr benin on the.. da of - 01 - ',Imo"------------ s-,n s lst-..- y .Tune-- . 19.E--, provided the entire purchase money and interes shall be fully paid within.....„-.t - { Q. ..,_,-~_-{----_,years from the.,date hereof. lSl a~C~.tiOT~aiti~a i "fiYS'sh~a~i L ar to s~ 1~t`F~rt 't~~ eUlte,=,9 e~n ciPEI ar5tit~ng 09,P I{n4• u RPt'd may be prepaid without premium or fee upon pr ncipal at any time, and interest shall be calculated at all times on the unpaid balance on the d 'i daily rate basis at 1/360 of the annual rate. In the event of any prepayment, this con ract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accrui g interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall p,'~ be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. a W, Cha.,ere=>3ScY tQ r L r l ei _ 6 id?Ir --.or exau - DaveeeE~ paid . ~e F~eigaseegrees-tee e++nc~rFhal{ le 60st -44 EPP4 The Vendor shall furnish the Purchaser t irty days prior to the date of ultimate closing, and the Purchaser shall accept as a sufficient showing of title, --+o l-e-narned-es~ -a{~reesr+~rat, c~c lZ) a merchantable abstract showi g the Vendor's title in the condition called for by this agreement. If an abstract is furnished, d the Purchaser shall notify the Vendor, in writing, of any objections to title within ten (10) days after receipt of such abstract, and the Vendor shall then have a reasonable time within which t rectify the title or furnish a title policy as above described. The Purchaser shall be entitled to take Possession of said premises on.- -JuL4v -I 19.70.... In case possession is to be obtained by the Vendor, he shall have a reasonable time after such date in which to remove any occupant. The Purchaser shall be entitled to remain in possession as long as he performs all covenants and agreements herein mentioned on his part to be performed and no longer. The Purchaser covenants and agrees as follows: 1. To pay before they become delinquent all taxes and assessments, now or hereafter assessed or levied against and on the real estate described in this contract and to deliver to the Vendor receipts evidencing due payment thereof. ble value 2. To keep said premises insured for fire a d extended coverage for at least the sum nfetheir frill Failure to exercise the options in the following para;raphs r%f this. contract shall not constitute a waiver of the 3ht to exercise the same in tht vent of a subsequent default The Purchaser hereby covenants and grees that time shall be deemed to be of the essence of this contract and in case of default in the , payment of any principal or interest when the same shall become due, or in the performance of any of the conditions, covenants, or promises y the Purchaser herein to be kept or perfo ed, and such default shall continue for a period of sixty (GO) days, then the Vendor may, at his option, declare the contract at an end, all r ghts of the Purchaser under this agreement concelled, and the amounts paid by the Purchaser hereunder forfeited, the same to remain the Vendor's property as rental of said premises and"as liquidated damages for the failure completely to fulfill this agreement; and the Vendor shall forthwith and without notice have the right of re-entry; or, at the option of the Vendor and without notice to the Purchaser, notice being hereby expressly waived, the whole amount of unpaid principal shall be deemed to have become due and payable; in case such option shall exercised, the unpaid principal and interest together with all sums which may be or have been paid by the Vendor as herein authorized wit interest on such disbursements at the rate aforesaid shall be collectible in a suit at law, or by foreclosure of this contract in the same marine as if the whole of said unpaid principal had been due at the time when any such default occurred, ` and the indebtedness shall embrace, with sai unpaid principal and interest, all the sums so disbursed with interest as aforesaid. In case of legal proceedings in enforce ent of any remedy hereunder, whether abated or not, all expenses, including reasonable attorney's fees, shall be added to the principal, become ue as incurred, and in case of judgment shall be included therein. Upon the commencement or during th pendency of any action of foreclosure of this contract, the court may appoint a receiver of the premises, including homestead interest, and may empower the receiver to collect the rents, issues, and profits of said premises during the pendency of such action, and may order sue rents, issues, and profits when so collected, to be held and applied as the court shall, from time to time, direct. All terms, conditions, covenants, warranties and promises herein shall be binding upon and inure to the benefit of the heirs, legal repre- sentatives, successors, and assigns of the Vendor and the Purchaser; the wife of the. Vendor for a valuable consideration, joins herein to bar her dower and homestead rights and agrees t join in the execution of the deed to be made in fulfillment hereof. IN WITNESS WHEREOF, this land contract has been executed and delivered this -_..h h-.day of 1970--. ( SIGNED AND SEALED IN PRESENCE OF I - ti-3Z~ z z.. (SEAL) - ~ Adolph G . /ki/a A F.Grimm ;Z 11~e - J Bernice Grua - - .(SEAL) - - - _/zi - (SEAL) Judich Grim INDIVIDUAL ACKNOWLEDGMENT t State of Wisconsin, County of------ PIFIRCE------ Personally came before me this. ----------------15th_..._.-day of. 1979.d the above narped$ t.,~,de ph ---Gri> _az1: Zarnic r ,his---w-;Jf and ~ Grir_ ----mod JL: iith 5•..~r *as i j to jm e ,known to be the persons who executed t e foregoing instrument and acknowledged the same. i I Ralph -E._ Senn Notary F-uolic,... Washburn County, Wis My commission ezfretzs... _is Permanent.: : CORPORATE ACKNOWLEDGMENT State isconsin, I~ County of SS. i~ Personally came befor e me thi . - day of - - - 19....- C! President and--------------------------------------- Secretary, the above named co rporation, to me known t be such persons an rs who executed the foregoing instrument and acknowledged that l they executed the same as such officers, by its authority, for the purposes t contained. I ii This instrument drafted by Notary Public------------------ County, Wis k Ralph E. Senn Atty. My commission expires.. River Falls,, 1, iseonsJmion 59.51 (1) of th Wisconsin Statutes provides that all instruments to be recorded shall have t: plainly printed or type ritten thereon the names of the grantors, grantees, witnesses and notary). i NQ,USTR DEPARTMTNT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS '9OR AND PERCOLATION TESTS 115 DIVISION 1 P.O. BOX 7969 HUMAN' RELATIONS J MADISON, WI 53707 ` H63.090) & Chapter 145.045) a LOCATION: SECTION: TO NSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: COUNTY: O ER'S BUYE 'S NAME: MAIL! GAD RESS: USE DATES OBSERVATIONS MADE NO. BED COMMERCIAL DESCR PTION: PRO E E CRIPTIONS: ER ATION TESTS.- IV Residence ❑ New Replace 0' _77 Q(/0 No RATING: S= Site suitable for system U= Site unsuitable for stem O O` z 04 ho /Q CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYS EM:(optional) ®s❑u ®s❑u : QS ]U ❑s®u ❑s©u 4. If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: ~tJ Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWA ER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST GHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 9 50 .dES B 11rayYl 17 6n / B S B- B- 3,oo © ? 5,0/.2 ys~ An d B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD PER''IIlNCH P- D f^ l V P- o v a~ P__ P_ 7 ,50 J a -P a P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horn 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 slope. SYSTEM ELEVATION F Peh~~ e - =Ire ~Peoe;]_- a~, q N Cera~er o re er t goo` x . N .Przs ~ d ~3 ZZ, f P3 - - ~ S ~ c ~ Y we E E , r • V ° -UCTICai V81 COMPLETING FORM 115 - 6395 ' a To be.a cm accurate soil test, Yout; report 1114St include: 1 . CotY1plete IC£j tion; 2. The use sec-i( :early whethe is a icc (It a project; A: 71R A HOLDING TAN' .Y IF ALL a 301L -)NDITICNS; 6, F:, iting profile descriptions and cornpleti ; st plan; y ,ur test locations, El nr;r g t F-1, ~t d, A refet_rnce point art box a, nes, addresses, fl d ernp- sty } does no, si Aa x, YOM cz ntanr. rirerl, ALL TESTS aJST BE FILED WITH THE S OF CGMPL IATION FOR CERTIFIED SOIL T ° ~ cxtteres. ri~>~t~~ksols r Pn - B!, G me t i a„ C1 Bm - V RP a w 7 IK (a a ~ 165 Cc1d s. 3~ 3 l ~Jh~ t-c x ~om~ x Nov' X x froPosed , fee se~~`t I8'X53'~ied ICK ` of 31- Nome ?G t~ dpO ^,%I ~ a s~ Sep T:~ --Vi L Q~ v /oo ' 4= ~E r. 4 6 d Q P ~'o K/ oX9rd Qh NE' Corner o-f k ~ogse ~occi~~gf;eh C E d ~e tTy N\ 'flr•~w~~ to bye ~'en►ov~c~~ll~d Parcel 022-2004-10-025 01/26/2010 08:50 AM PAGE 1 OF 1 Alt. Parcel M 36.28.18.568A 022 - TOWN OF KINNICKINNIC Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - GRIMM, MATTHEW A MATTHEW A GRIMM 1404 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1404 CTY RD M SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 42.850 Plat: N/A-NOT AVAILABLE SEC 36 T28N R1 8W PT SW NE & PT SE NW COM Block/Condo Bldg: NW COR OF SE NW POB; TH ELY TO N/S LINE ON E BOUNDARY OF W 20 ACRES OF SW NE; TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SLY TO NE COR OF PARCEL DESC IN 848/69; 36-28N-18W TH WLY 290.39'; TH SLY 323.39'; TH W TO PT BEING 330'E OF SW COR OF SE NW; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2003 734336 2352/387 WD 04/18/2002 676642 1874/555 WD 07/21/1970 301378 463/262 LC 2009 SUMMARY Bill M Fair Market Value: Assessed with: 12604 Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.850 6,200 0 6,200 NO OTHER G7 2.000 50,000 66,100 116,100 NO Totals for 2009: General Property 42.850 56,200 66,100 122,300 Woodland 0.000 0 0 Totals for 2008: General Property 42.850 56,200 66,100 122,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n Cl) p n N O 3 v n d r~ es + `r1 c d c m r 3 v (D sk .r c o o w z 0 OD o N) G l o N Z o~~ _T ~ N ~r]Oy~- • A O N O J [ 1 A N J` 3 a CCD m w 3 3 o CD p A N (O 3 3. co m U, a Z m 0 o 3 1 Z a~ N o 3 ~ o ~ y O N G7 N CO N J w 1l a- ra 9 N N° -0 0 Z 5- CD CD 0 ° 3 a o _ ° o o 7 N N O O N N A N N A J ID, m m m ° D ¢ < D a CD m a n N n (D cn (n N 3 Q A d 1 v 0 CD Ln O. C) IV CD N) r -C, "aim O CD O m Ut ;p ;0 z co (D O tp0 c00 (~D N 00 00 O O C V V N A A rT W p Z O O O O O O z _0 § 00 A 3 A v o 5. S G G o o O N O O° T. N N 0 W 'N6 N y to 3 m O) IM Q ? D m 0 D co 0 O v O J O Er 0 ? CD m cn cn to a) t~l O N R O O J -a F4 w (o O. @ O a ~f a 3 m J 3 J Z CD O c6 J fA J J N C fA C - ~a K J J A Z 0 O_ O. O 7 O J Cl) ~ Cl) G C O a ID 00 Y Z O O A c Z ao y .p w m K G) Er > D =r 0) 0 :r M . CL CD CD a N O. N C i ° n~ CC .J+ N= N 3 O G N N p O G =r 3 n N A f7 S 43 C S N N C N C O ff: O 7 y A CD N < OZ G m 0 ul p d n CD CD ° 3 mC),- C N o o v o CD C/) M. Z C) y Z f m N 3 J °O n° ao ° °3 O'~ 0- CD a Cn .P. J O S N° O UV1 0 N I CD CZC Z J c mNOOi S~ N CGpDm a ~aoo o~VN c cn D J A-0 N i N ~w 0,2 DN° N pG)j O~ .A Q C/) .J. pO N AN.. p N V ~ N• N ~ d A O O A O O a w to O O N O O C) CD C=l CD O O L Parcel 022-2004-10-025 03/12/2007 04:04 PM • PAGE 1 OF 1 Alt. Parcel 36.28.18.568A 022 - TOWN OF KINNICKINNIC 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 O - GRIMM, MATTHEW A MATTHEW A GRIMM 1404 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 42.850 Plat: N/A-NOT AVAILABLE SEC 36 T28N R18W PT SW NE & PT SE NW COM Block/Condo Bldg: NW COR OF SE NW POB; TH ELY TO N/S LINE ON E BOUNDARY OF W 20 ACRES OF SW NE; TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SLY TO NE COR OF PARCEL DESC IN 848/69; 36-28N-18W TH WLY 290.39'; TH SLY 323.39'; TH W TO PT BEING 330'E OF SW COR OF SE NW; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2003 734336 2352/387 WD 04/18/2002 676642 1874/555 WD 07/21/1970 301378 463/262 LC 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.850 6,200 0 6,200 NO OTHER G7 2.000 50,000 66,100 116,100 NO Totals for 2007: General Property 42.850 56,200 66,100 122,300 Woodland 0.000 0 0 Totals for 2006: General Property 42.850 56,200 66,100 122,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER / CP f '1 1997 ADDRESS Ho CO V~- D 1-74 uW _ Zp~ pN ~IGE v . 9 1 5 G)(5 6ZZ > SUBDIVISION / CSM# LOT # SECTION *3,_TZ,-!g1-RW, Town of ~N~ c~ /NN( e ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FE T OF SYSTEM a 6u. i C"` [Pf NGN CO Lq 3 ~ r~~6 5 co j04-0 C& (A /Ctj FLN y G~X INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: CS-t p /✓I 16ra, Q ALTERNATE BM: ~UG F/ PC- +4- SEPTIC TANK / HO Manufacturer: W C(:~--(5 (-e-, S- Liquid Capacity: l e7-0 Setback from: Well House 3 (D Other Pump: Manufacturer _Model# Size Float seperation Gallons/cycle: Alarm Location 1~1f~ c~&~V 22 SOIL ABSORPTION SYSTEM Width: ~ ,!(p Length 7 T/" Number of trenches Distance & Direction to nearest prop. line: ;,->j y Setback from: well: House i Other ELEVATIONS / Building Sewer / ST Inlet: ST outlet: l PC inlet PC bottom Pump Off / /aZ,S7 ( /03, z Z Header/Manifold- Z /0/.Z:3- Bottom of system Z c19, Existing Grade Final grade DATE OF INSTALLATION: 10 PLUMBER ON JOB: leD6 LICENSE NUMBER: 1-k~19 6 3 1-2 / INSPECTOR: /✓l n/~GfO/~ 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Bu'Tdings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284304 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: GRIMM, GARY KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 022-2003-95-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing bLee( - h Aeration Bldg. Sewer 3,11 Holding St/Ht Inlet ,g TANK SETBACK INFORMATION St/ Ht Outlet 5, c2_ Verit TANK TO P/ L WELL BLDG. A irito ntake ROAD Dt Inlet (h p Ar 3.7 Septic NA Dt Bottom- ~j Dosing NA Header / Man. Aeration NA Dist. Pipe fj,Zq Holding Bot. System PUMP/ SIPHON INFORMATION I Final Grade 3,5 2, Manufacturer D/emand Co y-A Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Head Dist. To Well SOIL ABSORPTION SYSTEM c4 (4144,y), I ev-S V 9.3( Co-yV BED/TRENCH Width I Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~5- DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREA LEACHING anufacture SETBACK CHAMBER INFORMATION Type O nn- /Model N mber: System: WilF✓ 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.) (6-7,n A-C fti,41A LOCATION: KINNICKINNIC 36.28.18.567,SW,NW CTY RD M Plan revision required? ❑ Yes ❑ No Use other side for additional information. I F_ SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County ~M D l than 8 112 x 11 inches in size. V` • See reverse side for instructions for completing this application State Sanitary Permit Number 2 8 4/ 30 The information you provide may be used by other government agency programs ❑ Check if revision to previous application IPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner a e Property Location (Z ( ttJ14 kyLl, S T 2 , N, R 8 E (orb 6 Property wner's Wiling Address Lot Number Block Number -tit State 44o ~c 6F c'o Rn XV Zip Code Phone Number Subdivision Name or CSM Number IL-TYPE OF BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms 3 ❑ Vown OF 11VA1 1NN~~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 E] Apartment/ Condo 31?. ~O . / 9.6 & 7 v L b 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, 1Z New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of S. ❑ Repair of an -______ystem System Tank Only ExlstingSystem ExlstfngSystem 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 211-1 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. Gallops Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6_ System Elev. Ei Final Grade Requir d (sq. ft.) Proposed (sq. (Gals/day/s . ft.) (Min./inch) /U0 G evae n J VII Capacity Site . TANK in gallons Total # of Prefab. Fiber- Plastic Exper INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- steel glass App. New I xistin structed Ta~-ngkss~ Tanks t Septic Tank or Holding Tank I- pv v w, 6-&ACJ El 1:1 11 Lift Pump Tank /Siphon Chamber FT- 1- VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum r s Name: (Print) Plumber's nature: (N t MP/Mp"WNO.: Business Phone Number: 77 Plumber's Address (Street, City, Sta e, ZCi o e): u, IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps M/Approv2d ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DIS PPROVAL- _ SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, owner, Plumber 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 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, 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, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. 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. Vt. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or exisLing 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. V111. 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 8 112 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. INN '2. r ~ a ® Qbx~ ® N f"' ~^b W fi s 3 D o `1 a 2. ol~ m S ~ d ~ Wwzrrin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations oivisipn of safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY • fi'r' • CrIZ.U UC Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan rnust include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. If dimensioned, north arrow, and location and distance to nearest road. pZZ- b 3 _ q S APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GNI~ e Lj G L f"t M 691f . 99 .'S w 1/4 NA-4/4,S 36 T Z-8 N,R 1 b E (Q - PROPERTY PROPERTY OWNER`-S MAILING ADDRESS h ~r LOT BLOCK If SUED. NAME OR CSM # I\4 v e . couj,_" 2D " - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE DOWN NEAREST ROAD y L_ \Z IU'_12. 'F~ 3' wl ~/oZZ IS) 4Z S o -_I&. i\cA-uNti t C Coves " New Construction Use [M Residential / Number of bedrooms 3 Addition to existing building j) Replacement [ ] Public or commercial describe Code derived daily flow SO god Recommended design loading rate y bed, gPc S trench, 9PaV Absorption area required 1~Z S bed, ft2 "►.oo trench, ft2 Mapmum design loading rate y bed, gpd$ - S trench, gpo1R2 Recommended infiltration surface elevation(s) S E);~- P r\ -G I I It (as referred to site plan benchmark) Additional design/ site considerations zEtr'►M JO Z _Vyz. ~t ys- Lvve ti S'4 -?a' LDJU6 Parent material L.oQ.3 S c>u eR 0 u TL--/ft S N Rood plain elevation, if applicable N >4 ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ®S ❑ U 0S ❑ U IRS ❑ U ®S O U ❑ S RU ❑ S O U SOIL DESCRIPTION REPORT GPD/ft Boring# Horizon Depth Dominant Color Mottles Texture Structure Cor>sistience BoundW Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 13 Z 16-i9 1 ~3ytZ 3l y - L Zrn sbk mew - • S , Ground 3 2q-S:1 S k2 yl S 1 ~-S~1t V4 U* e g •~I • S 1 z.SfL S3 ~3 10`1 R-- Y Depth to limiting factor Remarks: Boring # - v zZ 1o~t~ Z~~ stZ~34~h ►~`fi~ dam, - -S 13 3 -)-VO IoWIR- 3lL - S1 1 cs~~c w uii' c ,r -S Ground ~O ti elev. y YO-F$ l0`-1 R vl _ O 59 w► ECE~ Depth to 199 tiff I o P, > 8 \ SS ' ' • Za't Remarks:' T Name:-Please Print Ptane: Arthur L. We erer 715-425-0 [ Vg rerr Soi Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Sgnadire Date: -n1-7 CST Number PROPERTY OWNER yR-lM SOIL DESCRIPTION REPORT Page ? of. 3 PARCEL I.D. # OZZ - ? U O 3 - q 5 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bowclay Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 0- l 2- 11 1 S. 2 J~ w\ C Z 1b-3Z . LO`1IZ 3 ~ - S 1 '3 h Yn'~'~ C~,L, - • S . Ground 3 32_tfs I O `12 3 L - S z_Sb \n U C-S - • S elev. ~Oy- o ft. 4S $ 1,0 `1 St- Y - p S 9 wl S - Depth to limiting factor > tea' i Remarks: Boring # 13 1.0 \2 Z L 2 L Z `FS~ r►'T'F4. L~ Lu • S El Z ZO-40 `C ,jR 3 / v S Z Z`~ S~li ►~'~1^ t'v S . 3 yo-S toylZ - ~s O S l C>ti , S 6 Ground Y L elev. ft. \4 SO- 24 y!6 - ~3SS~ `0-AyL ~tU'fy Depth to limiting factor i '2 Remarks: Boring # o-L6 toy\Z zLti _ L. Z`~s~>t v►-,'~►, c"U . S St'I z~s ~h mh eS • s , El 3 31-77 1 o'11z l((/ nn Ground TS C7 S 9 i"'1 S elev. 1od,Dft. i Depth to i limiting factor » 7 'i Remarks: -L-j Boring # Ground i elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 3 3 Page of PLOT PLAN SCALE 1"= y.(j- ' ca.fl-o~2 s' s fWol5 Zo0)0 eLtz. 6 R'S o ~ tRtoz, s ~o ~ s ~ rl-►vo w 1^~ 8~-_-: _ . D, Orv g 6' q"ttl6tt, s/g"~Iq. ! ~ l~ll~~3r Wit- ~~~5~. R6-pY~R. t„/STN \ 9 F B .Z 5 6 ~tkoo - ccj1vl-j~ ;EL. 10 S I n., o I'[~5 80 s ti o T- 8 S v 1~ L L 1=olZ ecYvu~~l~rl, ti~`Pt~.~'sT ~R~P• LINE ek- 101.0 (3tv \S, Wt G H S16,D1A ZL -QpCR W/LPG ~P 0w1~~, 11Z-~~~N Y`'►tn.,. 6' 4(~~k''( FAT ►''z A-ct F3 -tm A, 'nt*rv +~yc . z ~ P~1- ~ot.nv s WP G I . ~ z 1w, Nt `i12~~v elf ~_rLQk4 T- `nM O CW%TN' .u cr0&a , w\ w Ova L) (715 ) 4 .5 - 01 fi 5 _ 1400 5 7 6 CST Signature Date 5 ign Telephone No. CST # V2oSS 5~'~ 5 Pry I a t { AL a ~ccvl~ I 12 INW ARTCRAFT HOMES PROD. NO. 0 2 0 3 5 6 A Product of Wick Building Systems, Inc._ P.O. BOX 530 - Marshfield, WI 54449 - Ph 715/387-2551 Pa e Last QUANTITY U/M DESCRIPTION AMOUNT ATTACH PRINT ON THIS PAGE 03-15-1996 5000 Of IZA,ois 0 0 0 u i 0N113 h'JU33A~ L ~f z i.~ z 00 < '1 0 :4'• 7 v 7 ~ M ~ - O J - u I~-(', o W U 1 Ins I d0 o ::z::o. o 'IdO 0 r7 I n N O ~IU O U~f O t` I~U O O d d N 7 ni r7 1 J 0 I , U ti '1 fj ^ ~uG This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will Should this only result in delays of the permit issuance. development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. property owner of , Location of property-1/4 ~/4, Section 3rTN-RW Township C VV C- c AJM C- Mailing address ~ C o R-0 AA c o c~. r ~t-- Address of site Subdivision name Lot no. Other homes on property" --X.-Yes-No Previous owner of property Total size of property Total size of parcel f Date parcel was created Are all corners and lot lines identifiable? Yes -No Is this property being developed for (spec house) ? Yes YI.N0 Volume and Page Number5~/Z-5/~as recorded with, the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMSER, VOLUME AND PAGE NUMBER AND THE SEAT. OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. 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. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signa~, ~re of App icarit~ Co-Applicant Date of Signature Date of Signature . 'C L/0-8/1995 12:14 7152737753 NELSON PLUMBING PAGE 02 STC-105 SEPTIC TANK MAIrPI'ENANCE AGREEMENT.' St. Croix Cou/n~tty~ OWNF."UY)EaR ~ L2A MATNG ADDRESS f~D l'L , (r~ IZ 41 PROPERTY ADDRESS location of septic system) Please obtain from the Planning Dept. CI'T'Y/STATE 8 ( U 0& FA-C.C,'K- L') I S Ke PROPERTY LOCATION 1/4, 1/4, Section T~-RIZW TOWN OF . r6 ')A✓1 C ~/t)/t)t C ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY , PAGE _ , LOT NUMBER. 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St- Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained, The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year epiration date. SIGNED: yJCrti` / DATE: Y-hl - C St. Croix County Zoning Office Government Center 2101 Carmichael Road Hudson, WI 54016 11/93 STATE OF WISCONSIN-FORM NO. 36 LAND CONTRACT-INDIVIDUAL AND CORPORATE DOCUMENT NO. 301378 Boor 463 DA-:E2 'F32 i N. C. "KiE■ CO.. MILWA-EE Section 235.16 Wisconsin Statutes CON7RACI', by and between Adolph. GriaIIn,, also known as A.F. Grimm.-And-- - h $..JI[ OA --herein called Vendor, whether one or more mid.... Garg .Grit . and...J.udith. S...Gri i, .-husband-.and .wife: as---. joint --tenants - herein called Purchaser, whether one or more, WITNESSETH: That the Vendor, in consideration of the payments to be made and the covenants and agreements by the Purchaser to be performed, as hereinafter set forth, hereby sells and agrees to convey unto the Purchaser, upon the prompt and full performance by the Purchaser of the covenants and agreements of this contract to be by the Purchaser performed, the following described real estate in . Sir.XrOJ,x--__....-.__--------County, State of Wisconsin, to-wit: The Northwest Quarter of Section Thirty-Six (NW1-36), Township Twenty Eight (28) Northi Range Eighteen (18) West. Also the West twenty t20) acres of the Northwest quarter (NEB) i of Section Thirty-Six (36), Township Twenty-eight (28) North, Range Eighteen (18) West,, except for the following parcels: (a) Comencing at a point 25 feet East of the Northwest corner of the East Half of the Northwest Quarter (E-gNW4) of said Section 36, thence West 25 feet, thence South 25 feet, thence Northeasterly to-the point of beginning. (b) A parcel occupied by the new dwelling house, and described as a part of the West 20 acres of the Northeast f~uarter NEI) of said Section 6, de eribed a,sifoll ws:Go en ~ t the f Southeast corner of said 26 acres, thence West a~ong tie outh lne o$ said OrMas~ Quarter 208.71 feet; thence North along a line parallel with the East line of said 20 acre tract of I land 208.71 feet; thence East parallel with said South line 208.71 feet to said East line; thence South 208.71 feet to the point of beginning. 1 square acre, including the road lei right-of-way. Third fivea 35 , 0 (2) rhQlps we ty igouthZ29' ua h r Ra ngeoflg een ~)r8~ehs('.'~~Ew) of Section I~ y- Towns Tweet ht 1 or Subject to existing highways and to easements and rights-of-way of record. I~ together with all buildings, improvements, fixtures and appurtenances, now or hereafter erected thereon, including all screen and storm doors and windows, attached mirrors, fixtures, shades, attached floor covering, hot water heater, furnace, oil tank and light fixtures I, which shall be a part of the real estate. - il J The Purchaser, in consideration of the covenants and agreements herein made by the Vendor, agrees to purchasc the Ax,vc described premises, and to pay therefor to the Vendor at .-Aiver. Falls,Misconsin, or. such place as Vendor directs the sum of-F.ifty_Thousand _ and. no0~100 - -------050,000.00)-- fk ears, Ljuaj in manner following: No down paymentI i +t. w«~e 0 c'n E,419 :"•I-^n I {":•'t, and the balance of ~~rr $ 50,040-00 together with interest on Such portions thereof as shall remain from time to time unpaid, at the rate of Five (5N) per cent per annurn, until paid in full, as follows: Said rincipal and interest shall be payable in seal-annual installmpefn-~ts of not less than $ - . ,00 o Prinei beginning on the 13t day of. June IoL ~tw i -1000 ptg~._ provided the e tire iurchase money and interest shall be fully paid within thiny (30 years from the date hereof. unnnnn id act 1}g lorerr Tf ~ej t on each ]~]'~stalLnent In addition op.r } m10en s spa t le. rst 0- o~n pr cdal ai loo to crest o ~c un Talc e . u r, c ee t ion to pnrn-tpel -\m .u.lount due 11 may be prepaid without premium or fee utx)n principal at any time, and interest shall he calculated at all times on the urip,tid b:l r:ncc r,n rile date daily rate basis at 1/360 of the annual rate. In the event of ar prepaymenr, this contract ;hall not be treated as in default with resfect to ptvment ;o inn(; I thi d f -I:uuc of principal. and interest (and in such case accruin; interest from month to month shall ke ncated as unpaid prier If.li r: lr treat t - nu;ant that said indebtedneSSwould have becnhad the monthly payments been made as first specified above; provided that nxwilk, p:1% shalt be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises hcin;, tht-rcalt< r cin~ ~ ~I ! , rc rr)tn Purchaser s,riht to re ce t r' ace J 2 ,1 1311.111111111.- 4_0 j~... I- 4QAi - The Vendor shall furnish the Purchaser thirty days prior to the date of ultimate closing, and the Purchaser shall accept ,is ,uiticicnt showing of title, i" 177"' a merchantable abstract showing the Vendors title fn the condition called for by this agrcement~ tf an ab>nact is furr.i,hed, the Purchaser shall notify the Vendor, in writing, of any objections to title within ten (10) days after receipt of such abstract, and the Vendor shall then have a reasonable time within which to rectify the title or furnish q title policy as above described. The Purchaser shall be entitled to take possession of said premises on July.- 1 - i~ _70. n cnu no,c,ioii is to be obtained by the Vendor, he shall have a reasonable time after such date in which to remove any occupant.- f'hc [?arch r r shall le entitled to remain in possession as long as he performs all covenants and agreements herein mentioned on his part to be perionned and no lonr;er. The Purchaser covenants and agrees as follows: 1. To pay before they become delinquent all taxes and assessments, now or hereafter assessed or levied a ainst and on the real estate described in this contract and to deliver to the Vendor receipts evidencing due payment thereof. their full insur1ble value 2. To keep said premises insured for fire and extended coverage for at least the sum oo to pay the premiums thereon when due, and to comply with coinsurance provisions, if any, in insurance companies approved by the Vendor with loss payable to the Vendor as interest may appear, and all.policies covering said premises shall be deposited with and held by the Vendor. 3. To keep the premises in good condition and repair. -r-_ I-- t....._,..,......f- f.,,.,, lt- i- r., 01o Nan of rhic cnntmet. or the riehts of the Vendor in the nremises. Failure to exercise the options in the following paragraphs of this contract shall not constitute a waiver of the right to exercise the same in the event of a subsequent default; The Purcba:cr hereby covenants and a;!rces that time shall be deemed to be of the essence of this contract and in case of default in the payment of :urv principal or inlcrest when the same shall become due, or in the performance of any of the conditions, covenants, or promises by the I'nrchaur hcrcin to I,c kept or )erformcd, and such default shall continue for a period of sixty (60) days, then the Vendor may, at his nhr,n, .tcc%Ire the eontntct at an end, all rights of the Purchaser under this ai~recment concclled, and the arnounts paid by the Purchaser hetc+ nelcr ft t I it _d, the same to rernain the Vendor's property as rental of said premises and n liquidated damages for the failure completely to f l!hil 1hi., ;I r, uu ra : and the Vendor shall forthwith and without notice have the right of re-entry; or, at the option of the Vendor and Ne it:, n 1),a e to (Ile i t;' notice being; hereby expressly waived, the whole amount of unpaid principal shall be deemed to have become alit Ind g ac L;,•; in e, e >nrh option shall he exercised, the unpaid principal and interest together with all sums which may 1,c or have been pail h% the %clidot a : hctcm authorized with interest on such disbursements at the rate aforesaid shall be collectible in a suit at law, or by lolccit,.urc o(' t hir: cent ract in the s:unc manner as if the whole of said unpaid principal had been due at the time when any such default occurred, and th. inJ, I tcdrr ~a shall end r Icc, with said unpaid principal and interest, all the sums so disburscd with interest as aforesaid icluding reasonable attorney's n c:l , f lu;:il pnxccdir ,s to enforcement of any remedy hereunder, whether abated or not, sill expenses, n f(c. . h,lil be :nldcd to the principal, become due as incurred, and in ease; of judgment shall be included therein. t'INm the t ,Itill encenx• it or during; the pendencyof any action of foreclosure of this contract, the court may appoint a receiver of the pwnli•cs, iochaaiu;; homraead interest, and may emlxtwcr the receiver to collect the rents, issues, and profits of said premises during; the pcnacnc Of "M 11 :10101), and may order such rents, issues, and profits when so collected, to be held and applied as the court shall, from time to bait, airccI \II term.. , Wait inns, coverrrnts, warranties and promises hcrcin shall be binding; upon and inure to the benefit of the heirs, legal repro- ~cntnt ivcs. ajw" •:.,.r', and nsvg;ns of ill,- Vendor and the Purchawr; the wife of the Vendor for a valuable consideration, joins herein to bar her ao~crl nn,i h,nn,o-.tunl rights nod ag;rec•s to join in the execution of the decd to he trade in fulfillment hereof. IN NVII;NF:SS WIIEIZLO I~, this land contract has heen executed and delivered this _ 15th day of . July 1970-.. tilt h-I.U AND ti[ %I 1 0 IN I PJ SI NCI( OF i' c c r t • _ .(SEAL) Adolph G a~a i~.F.Griuua -Ralph E. Senn -(SEAL) _ Daphne Thompson - - Gary-` 1_ ,M_..- -----~j- Judith S-LSrrim'n_-_-_ INDIVIDUAL ACKNOWLEDGMENT State Of Wisconsin, YILUCE } ~5 ('ot(tit y of I r.,,anlly , Ir :r lxfore ale this l5th day of _ JL A 197Q. ;the yr.vc ram, a ii,dolph Grimm and Bernice Grirtn, his wire; and .,Gary Grimm.. . and . Judith f Gru;L,i his wife f to tilt 6u~mn t the iw~c.0rr7 sbo executed the form;•oin„ tit, ti-rmrnt :Ind ackno•.vlcdg;c•d the same iialph E: Senn - r Notary Public. l•,"ashburn ) County, wy9.., My cornmi•siou 0*144m._..- -1.S ~ e Rk1Ilellt CORr'OIZAIT ACKNOWLEDGMENT n I' iss. State. of °t onsin, Count v of J -t"': k for(. Inc this day of 19- - Prc;ieicnt and Secretary, of tf :air..; . ,Irn ti ;i. t,lrl.ui, to rile krnuun to lie -,kith IN:ruxx and ua. Atio cxecutcd the foregoing; instrument and acknowledged that hey e>.eeur,. the , :I , T ugh 0:fccr•:, by its authority, for the purlN)w:, theuntaincd. This instrument drafted by Notary Public, ty. Wis. Ralph E. :3enn, Atty. My commission expires.......... _ River Falls, Wisconsin f~.n t,,,1) SO SI (1) of the A~'i.ennsin Suuutcs pruvidr• that till instruments to he recordaf chill have I d;unly pr-trd or tyhcmritten thcr-ii tlic namrs of the grantors, I;ranttr•e, witnccses and notary). 0 C M T C?' -0 ci j r ro r.r of trl : ✓ .'J 'U t~f ~C> y u O 1Q:~ ~f"1 Cli C 0 ~.s~ Y 4 S 1 2 3 ~ ~ ~ y~, ~2~ ~ ~ ~ 1 G ~ ~ ~ yn~yt 4Yf, ~v7.iy~ /1..,. 1 ~ 2 Parcel 022-2003-95-025 01/26/2010 08:50 AM PAGE 1 OF 1 Alt. Parcel M 36.28.18.567A 022 - TOWN OF KINNICKINNIC Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GRIMM, GARY A & JUDITH S GARY A & JUDITH S GRIMM 1404 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1424 CTY RD M SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 45.000 Plat: N/A-NOT AVAILABLE SEC 36 T28N R18W SW NW & PT SE NW EXC AS Block/Condo Bldg: DESC IN WD 2352-387 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2003 734336 2352/387 WD 04/18/2002 676642 1874/555 WD 07/21/1970 301378 463/262 LC 2009 SUMMARY Bill M Fair Market Value: Assessed with: 12603 Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 43.000 6,500 0 6,500 NO OTHER G7 2.000 30,000 210,500 240,500 NO Totals for 2009: General Property 45.000 36,500 210,500 247,000 Woodland 0.000 0 0 Totals for 2008: General Property 45.000 36,500 210,500 247,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/09/2008 Batch M 08-02 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00