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HomeMy WebLinkAbout038-1156-70-000 C; p oa ~ I 0 0. ° 6 o A? CD N L OOp O N 3 N C U L O co ~ C O Q Oi U p ~ d x O C (0 CV Z 0I 0 C O O O z 76 U. c 3 .o > > aEi c a) T E Q CO) U f6 ~ a N E Z = o Z ~ N I N Cl) m o o wzI a y. T d Z v ° c O U) F- pf T C N z E -0 'D 2 r' N O C m N N N ry, • N _ CO ~v a Z m z O N z _0I d N O ~ d d C O O CL 1 w O O lA 3 N d d N 0 O c c a a m 1~ N Z r In U) U) 'O U- 0 k a 'm 4.; 0 (L IL IL _R E N IL = o N rn rn m~V 3rnrn ~ T Z N N Y ~ ~ ~ O O -O E 7 L ~ ~ N O N w c, d Q U) Q O T 7 O C co N 0 3.- t- C I p O O E O O ~ 04 Vf C V d Ln CO M- c) U W _ C\l ISM T M d fM w O Z. C N M N .0.N O m m L cO O N fn LL N C. Z c 2 (n at a m c r A Ua~ lOv~v Parcel 038-1156-70-000 04/20/2005 10:29 AM PAGE 1 OF 1 Alt. Parcel M 22.31.18.727 038 - TOWN OF STAR PRAIRIE Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * HANSON, KIM G & ROBIN L KIM G & ROBIN L HANSON 2076 110TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2076 110TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.570 Plat: 2230-NORTHWOOD SEC 22 T31N R1 8W PLAT OF NORTHWOOD LOT 7 Block/Condo Bldg: LOT 07 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 08/15/2003 735737 2365/235 WD 04/04/2002 675418 1867/131 TI 01/10/1979 354517 588/207 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 30926 185,900 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.570 29,000 165,100 194,100 NO Totals for 2004: General Property 1.570 29,000 165,100 194,100 Woodland 0.000 0 0 Totals for 2003: General Property 1.570 15,400 135,400 150,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 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 GGt ADDRESS QZQ 7~J ~lQ~i! f~ SUBDIVISION / CSM# LOT # SECTION ~TN-RW, Town of ~~i ST. CROIX COUNTY, WISCONSIN 63g-115 4,--10-60a PLAN VIEW SHOW EVERYTHING-WITHIN 100 FEET OF SYSTEM a~ l J.y ~Gh ! 1;_7 yr r Ny ~o kJ3 ` INDICATE NORTH ARROW 0 Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ~ j BENCHMARK: , ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION. Manufacturer: ~s/! Liquid Capacity: 1 Setback from Well House Other Jig ~c~ T-Cr, , Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length „~S" Number of trenches Distance & Direction to nearest prop. line: /O f -5 Setback from: well: House Other /7~n-J~.0 f S'/h f~e~I;c -ELEVATIONS r ST Inlet: p?• ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system l-e Existing Grade --'f Final grade DATE OF INSTALLATION: rO~~ PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: L%9GJ 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety arfd Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284320 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: FIELD, CURTIS STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 038-1156-70-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic( Benchmark Aeration Bldg. Sewer Holding St/ Ht Inlet a, 3 Syr' TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic -'DSO ' 9 a() ' NA Dt Bottom Dosing NA Header/Man. g3 Aeration NA Dist. Pipe Holding Bot. System . 5 20,75- PUMP/ SIPHON INFORMATION Final Grade ° Manufacturer Demand 0) 1 ::#Gt ~ " S' J~• ~e Model Number GPM ".k"k R. 3 Zr a_ g 3 TDH Lift Friction System TDH Ft oss mead Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length.7 , No. Of>nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Model Numer: System: h/a -7 ' Q OR UNIT 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 3L ^ ` Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRIE.22.31.18.727,SW,NW NEW RICHMOND Plan revision required? ❑ Yes (B/No D Use other side for additional information.1,93 6 SBD-6710(R 05/91) Date In a r'sSignature Cert. No. ADDITIONAL COMMENTS AND SKETCH z s SANITARY PERMIT NUMBER: o Safety and Buildings Division Bureau of Building Water systems SANITARY PERMIT APPLICATION 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 than 8 112 x 11 inches in size. < d/ • See reverse side for instructions for completing this application State Sanitary Permit Number ,:p q 3o g L_ The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location /Mi/4, S T":P , Nr R,,(or Property Owner's Mailing Address of Number Block Number o Ci y~te 1+ ~ Peck Code Phone Numb S~ Subdivision ame or CS Num er . PA III. TYPE F BUILDING: (c e) E] State Owned ❑ City ~ Nearest oad ❑ Public 1 or 2 Family Dwelling No. of bedrooms v flag of ~Gr'`ir f0 III. BUILDIN SE: (If building type is public, check al that apply) arcel Tax Nu e ) 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ 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 Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 eepage Bed 21 ❑ 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. Gallon Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex per. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel New Existin glass Plastic App strutted Tanks Tanks Oc~y .4- Septic Tank or Holding Tank 1~t90 a L9 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PlumbeySName: (Print) Plumb "Signature: (N tamps) MP/MPRSW No.: Business Phone Number: Plumb s Address (Street, City State Zip Code): , 50- IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) L Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASON FOR DISAPPROVAL: SBO-6398 (R. 05/94) 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: L Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. Il. 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 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; Q 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. `PROJECT GLt~ P/_ ADDRESS4 /4/W 1/4/S ~,/T• : j.N/R;/& W TOWN « ~~l7~000NTY MPRS 'Byr ird Jr. 368 . DATE o-z BEDROOM CLASS PERC_„~ CON NTIONAL~4N-GROUND PRESSURE CONVE NTI AL LIFT MOUND HOL ING TANK SEPTIC TANK SIZE Da _ LIFT TANK SIZE"`°~- DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE BED SIZE l x,~ ` . \ Benchmark V.R.P. 'Assume El ation 100 Location of Benchmark .c • cam-- * H.R.P. 13 Borehole 0 Well Scale _ Feet G, O Perc Hole System Elevation Uent 120 Grade TYPAR COVEBINC . ~ 2" . 12" 3' 4 6' .:.0 .3' I 6 , Sewer Rock t t 2l 44 4P r r I Wisconsin Department of Commerce ITE EVALUATION Division of Safety and Buildings Page of Bureau of4ntegrated Services a c wit el HR 83.09, Wis. Adm. Code Attach complete site plan on paper not less 8 1/2x11 inches i PI qtn st County include, but not limited to: vertical and hod Phi I ref irif(Bk ^ irecti cJ G//'"o percent slope, scale or dimensions, north a nd ocatince toe st road. Parcel I.D. # APPLICANT INFORMATION - Pleas i ,format Reviewed by Date Personal information you provide may be used for seco R}o e , 5.04 (1) (m)). Property Owner ` Property Location Govt. Lot 1/4 11"aI4,S T ,N,R / E (oe Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# zi- 7w"' 0 //a r4 '~x r ~/r tveo~ City late _ Zip Code Phone Number El city 1:1 Villa Town Nearest Road ❑ New Construction Use: Residential / Number of bedrooms Addition to existing building Replacement Public or commercial - Describe: Code derived daily flow "opd Recommended design loading rate . ~7_bed, gpd* ~ trench, gpdt* Absorption area required _ bed, ft2- G_ ~J$7 trench, ft2 Maximum design loading rate bed, gpd 2/trench, gPd* 7 ✓ -Z- Recommended infiltration surface elevation(s)©. s ft (as referred to site plan benchmark) Additional design/site considerations / L Parent material d !!f Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system l l s ❑ U as ❑ U (as ❑ U as ❑ U ❑ S PA' 1 ❑ S J'U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. I Sh. Consistence Boundary Roots Bed , Trench -;le 101112 O' ! J~ / r l i T- f Ground r z f^ el v. Depth to ` 7 limiting factor Remarks: Boring # Ile t"t o~ Ground ~eV~S Depth to limiting factor in. Remarks: CST Nam (Please Print) i ature Telephone No. , - /5 v~~ S`761 Addre ~ ~ Date CST Number SOIL DESCRIPTION REPORT Page i of PROPERTY OWNER PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Gep/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench ®<2 Ground el v Depth to limiting fact r in. Remarks: Boring # , 'ONE Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor 'n. Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) Soil Test Plot Plan Project Name Byro ird Jr. Address j~ Ile f~ ey C M #3479 Lot ~7 Subdivision prLr,~G~ Date L]/ 1 1 /4ST N/RW-.- Township ~j Boring O Well PL Property Line County BM or VRP Assume Elevation 100 ft. - System Elevation * H R P 1 iA Y! 33 .34 ago 23 4/dl X~ Ve CI-A~ Scale 1/4" = 10 Ft. When Dimensions aren't stated ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the , residence located at: 1/4,1/4, Sec., T_~IN, R_f W, Town of 1 '10- Upon Inspection, I certify that I have found the tank and baffles"-"to be in good condition, and it appears to be functioning prope.r,ly. Last time serviced Did flow back occur from absorption system? Yes,XNo (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacurer (if known): 'Iper'f Age of Tank (if known): (Signat ) (Name) Please Print (Title) l1 2 (License Number) I- (Date) Form to be completed by licensed plumber (x.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name l off r Signature MP/MPRS l 5/88 S. U) z -D O m cnmrnNm m 0 v 0~° D N z z I rA rn cn z z- -i rn \ ° ~ p a ° co O tzis -1 m rn G7 Z mz zrn= DD D-i > I 01 ~o>mm0y*z -0 U) rrv°zmN=cn W _J rn O - Amc o~0~-nZvrnz,oDO vM m m _ D = c V) --q mz rrrl,- -4. ° i 0 I 27oooob6' co M-4. a -j ;u M c cn -o :z • m cn 4t~ a) Or ?7 vN.M m o O z S ~kT m o -n'' 6 O~Z O°ooc Oka) a t ` i' ~ / -4 r- = rn c) :-I H fn v m z -1 O t C rn 5 ! I m-n c - MM D r; O m i -n O •~O n r) m ~1 O D rri D 'm ro -4. 0 O z z m ~czi czn m Z"' o Q rn , In) D D Z_ 0 m C 0 0 M rn O z z m m ~ M rn z z _ m ~y v i r C-) d ; 01' S 00 2 „ m _ 't X :E m c D• z m'Z..m.--1 m iZc 207.05 33 r c - - 1, --mac 0' m vii , z = cl) S 0°22'15" 0 n D -1 2 rm- ' -n D v m to 00 0 1. U) m m 0 d Lr 0 m m mC.) ~0~:4 f~ O r0Dc z uDig 'rn U (1)ZM ~ m m;ooQ o O R1 Z ° EL Ppi ()j I~: c~0 - z = 2 -►1 Z • t 1 N amnmZ (n ~vm.~m w m M, m °z u)mW 0 > m -°btz w 0 rn v 'p ° p o2 W ~ 2. 010 ~ N~4°223 W °2230 W - OD. . g °m o . U) . n 0 N Z TOWN m ",.~o < z w W 6 Z~ Q (v Mr- -t m 0 70- ROAOcw,r_ a• 0, M- M co o Nin STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Z2 e 4 ADDRESS //b PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, 1/4, Section N-R~W TOWN OF a r ST. CROIX COUNTY, WI SUBDIVISION c LOT NUMBER CERTIFIEDSURVEY MAP r , VOLUME 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 re; eive 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 abet Je 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 y expiration date. SIGNED: DATE: - 2 9---, 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, Wl 54016 11/93 b 'I C - IOU 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/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. Owner of property G4. r S Location of property I 1/4 Section v7at T ~N-R /,5( W Township 'mac Mailing address ,20 76 ae-44,51 - e c`i/y1®~ 5 0 7 Address of site subdivision name 440P &e6yeP& 411 Lot no. -7 Other homes on property? Yes_ ( No Previous owner of property ~ac rY Sd40-7 Total size of property Z) 2 a yy X 5g 7 Total size of parcel 7 Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes __,.,',_No Volume and Page Number p202! as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL 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 s wage 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. O' '=ature pplicant Co-Applicant I Z-1 ' - 9 7 G/ - 2 2 - l5;7 Bate of Signature Dat of Signature r_ DOCUMENT No. I rArE BAR OF RLCONSIN-FORM 1 i WARRANTY DEED 35 1.✓: . I rf JJJV r,~F 20/1 ( rHlii ~ Rk ShHV[J -OR Q CORoiNG _.ATA - 1 I THIS )EED, nade between _ Larry F. Hanson and Suzanne I - - - ST. Ix '(D., W!S. son husband and wirer as joint tenants s _ ---1 Rec'd. for r, - - - - - .cantor c!ay Cf A.D. '9 and Curtis Field---) r' June Fiel~i~ husband and wife, - t r. ~ ~lllt i ~ rai.iee, secl- ..z W i t n e s s e ! h , That the said Grantor, for Ti valuable conssdera, uin One dQliar_ md._Qther--valuable_crosideration-_ r , ETURN TO conveys to Grantee the fotiowing described real' es:ate-in•___St• .Cr-O-LX_ County. State of Wisconsin ! Eric J.'-Lundell, BOX 157 New Richmond, 54017 Tax Kev No. Lot: -7, 'Northwood in the Town of Star Prairie. Subject to recorded easements, reservations, and rights of way. This--_-i$___-homestead property. ::s) :is not) T~get:.er .cit a and singuiar the hereduaments and .ippur!en.nces thereunto belonging, ,7Larry F._Hansan and-Suzanne Hanson + + "3t `-e t.t'e is flood, nuefeasible in fee ,i..P:e end free Ord clear of encumbrances except - no exceptions. ~vt ~r7wuu~q t> th ''f~ Ammo-her 1978_ - w y (SEAL ' - _ F. Hanson SEAL) y.. ~ .(SEAL) S , Hanson AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated of STATE OF RUSCONSIN I ' - - 19 ss. - t. Croix County. O j'I Personally came before me, this Nth day of 978 the above named -Larry F. TITLE MEMBER STATE. BAR OF WISCONSIN Hanson and Suzanne Hanson If net, author!zed by 706 06. 'Xis. Stats.) This instrument was drafted by - - Eric J. Lundell' -