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'Parcel 040-1217-10-000 07/22/2005 09:48 AM
PAGE 1 OF 1
Alt. Parcel M 7.28.19.1043A 040 - TOWN OF TROY
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
* SCHMIDT, JOHN D & MELINDA A
JOHN D & MELINDA A SCHMIDT
426 S FORK DR
HUDSON WI 54016-8042
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 426 S FORK DR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.128 Plat: 0005-15 CSM 11/3099
SEC 7 T28N R19W PT SE SE FORMERLY LOT 6 Block/Condo Bldg: LOT 15
SOUTH FORK AD NKA LOT 15 CSM 11/3099
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
07-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/01/2001 660842 1752/204 WD
07/23/1997 1179/76 WD
07/23/1997 896/27
07/23/1997 788/464
2005 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.128 55,000 227,400 282,400 NO
Totals for 2005:
General Property 2.128 55,000 227,400 282,400
Woodland 0.000 0 0
Totals for 2004:
General Property 2.128 55,000 227,400 282,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 307
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 )W&7/-r Pe JI) Y-e-
a
ADDRESS ~
~~Ol G
SUBDIVISION / CSMj.6-a, -7""!j iC'oti ~1 LOT yS^
SECTION. 7 T ,4 F N-RAW, Town of~T o ~d
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
HOW EVERYTHING. WITHIN 100 FEET OF SYSTEM
C Y 8
h
T rt -1--j
n~
O ~
~ h
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank m,111hole cover.
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
manufacturer: hj,Liquid Capacity:
~~6d
Setback from: Wellj_ House 2 f-' Other
t Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
:SOIL ABSORPTION SYSTEM
Width: s Length 7•S Number of trenches
Distance & Direction-to nearest prop, line:
/-4-"
Setback from: well: House Other
ELEVATIONS
Building Sewer ST Inlet:
ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER:
INSPECTOR:/
3/93:jt
Wisconsin [Separtmentof Industry, PRIVATE SEWAGE SYSTEM County ST. CROIX
LabcV and Human Relations INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION
'%rWV6A'r'W TTHEW S ❑ City ❑ Village Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM Description: TROY Parcel Tax No.:
I A
tlt L - - -
TANK INFORMATIONJJ LEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark Ar) ~2 .
Dosing
Aeration Bldg. Sewer ;7,/0
St/Ht Inlet v9~
9 '2'
Holding
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header/Man. ~9
ej,SSr ~i3.yf"
Aeration NA Dist. Pipe gd, , q
Holding Bot. System b S q
PUMP/ SIPHON INFORMATION Final Grade ` i5 r ~7
Manufacturer i` Demand
Model Number GPM
TDH Lift Lrictio System TDH Ft oss Forcemain Lengt Dia. e Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length f No. Of Trenches L PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 6 J ~ DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM
INFORMATION Type 0 /ZU-t..-) / CHAMBER Model Number:
System: o' 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: TROY.7.28.19W: SE: SE: SOUTH FORT{ CIRCLE
~f1
Plan revision required? ❑ Yes [ No a~ L7
Use other side for additional information.
SBD-6710(R 05/91) Date I pe or'sSignaturex Cert No
o and gWater l System
~.■~r.r. SANITARY PERMIT APPLICATION B ureau Buildin 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 8112 x 11 inches in size. 1/7 t-0
/
• See reverse side for instructions for completing this application State sanitary Permit Nu ee
The information you provide may be used by other government agency programs E] Check I~~fn to pfevioGs a plicati~li
(Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner Name Property Location
2 ~rr 1/45 1/4,S ;P' TaS N,R j E(o W
Pr pert- Owner's Mailing Address Lot Number Block Number
7o Ce /9-.1 €
City, State Zip Code F(P' o ne Number Subdivision Name or CSM Number
S h a.V1
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road
❑ Village
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 77e G'TN _e I
Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1❑ Apartment/ Condo a l Z` 7 U
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. 0 New 2. E] Replacement 3. E] Replacement of 4. E] Reconnection of 5. E] 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 ❑ Seepage 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. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate .6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft-) (Min./inch) ;4 0 Elevation_
~0OFeet `/G'd YG'~ Feet
VII. TANK Capacit in allons Total # of Prefab. Site Fiber- Exper
INFORMATION 9 Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank 12,14 1 VK ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: ( Stamps) PRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamp
Approved ❑ 0 Surcharge Fee)
Owner Given Initial
Adverse Determination ""g,
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: avv
SOD-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 b the permit issuing authority.
by g aut ity.
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.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ill. 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 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
gig
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y
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od
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Wiscordsin pepartment of Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Cod _
r+I UNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan munolude, but
not limited to vertical and horizontal reference point (BM), direction and % of slope; scald or P_ #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIE DATE
r.,.~
TPERTY OWNER: PROPERTY LOCATION O
N,R E (or) W
7240104 G01(T. LOT SK 1/4 -St 1/4,S,-7
PROPERTY VAR': MAILIN ADDRESS LOT 7OCK# BD. NA~ME'0q ,CSM #
/ T Q !L .`.Sly Soulimauk
CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE' ,OWN NEAREST ROAD ,
CT 14 T
New Construction Use [C~ Residential / Number of bedrooms 14,N K [ ] Addition to existing building
j ]Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate ®7 bed, gpd/ft2 Q trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate d ,1 bed, gpd/ft2 Q,$ trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/ site considerations EYat.c.Anoj D-nu& F6f- CSK , -08,6VAL
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CO VENTIONAL UND IN-GROUND PRESSURE T- RADE Y TEM IN FILL HOLDING K
❑ U So U S❑ U ❑ S U
U= Unsuitable fors stem 64 S❑ U S ❑ U all's
MY -
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd3y Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich
S
04
13-2-41 L i A b r c
Ground 8? 4 -3$ /oyik 3' - S i L b Al 'Fr c w O Z 03
elev.
,1-7 ft. 'g -JZ o`/i24 4 in► r ni - 7 01
Depth to
limiting
y /~olab
Remarks:
Boring #
VA M cv- ~ o-4 O}<
-4 v 3 1 L fhsloK A c<Ground S~ 3 3 r t+,SbK A) r W ~ OZ 03
elev. /oy9 d- 5 m r f V J 0.710 -Y
9$,~I ft.
Depth to
limiting
factor
7
Remarks:
CST Name:-Please Print Phone:
Address: o , QUO l `tCJ
Signature Date: a49 CST Number34Z4-
L-t-Z6"
PROPERF`ft?WNER 4ARY'ZAPPA SOIL DESCRIPTION REPORT Page *2 of 3
PARCEL`I.D. #
Boring # Horizon Depth Dominant Color Mottles Gr
Texture Structure Consistence Bour>~y Roots GPD/ft
;y~• in. Munsell Qu. Sz. Cont. Color . Sz. Sh. Bed Trend
~YAc%:b~.yC\ti
3 A 0-I1 16-Y &V SL, L na Cr ml c5 D.q O,S
i ii -Z -24
/6YC 3 1 L l rh -sbK MCA- CS ! .4 6
Ground $Z 4-4'9 IOY)e -3/3 - 5 , C yy slolC th r CW O.Z 3
elev,/
~oo:n ft. $ ~-i2 ¢ S rvr r M ~ ~,7 O
Depth to
limiting
factor
Remarks:
Boring #
s L / m e rn 1 C S / 0.4 :o ,s
/oylQ 3 3 - S, L 1 n, SbK n~ r C w / O,Z o:3
g
S tr rh - 0 T
Ground rZ K-! I~Yoe 414-
elev.
Depth to
limiting
factor
Remarks:
' ?Q
Boring # 0- cr- CS
5 e, 11-3~ Y~3 3 Sr L 5b~ ri, c C s 1 0,z 0.3
Ground IDW$ 3 S M ~ r? w 0,76
S m rh 0,7 $
14
iael 6, ft. -/3 16ye 4
Depth to
limiting
~fo~
Remarks:
Boring #
MOM
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
S
4
4 a
M 14 w Q
J
QA U
~Ql
I
i
.00
STC-105
i
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
• MAILING ADDRESS 5- e0 ,L tj r y V0
PROPERTY ADDRESS ~;t w fi~ tea, v .4r t 4, - e-
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE: 14 " g,, wl ,t
PROPERTY LOCATION 1/4, :5,6:_ 1/4, Section T oZt° N-R W
_Z t_
'SOWN OF "f mY ST. CROIX COUNTY, WI
SUBDIVISION _ 5& LOT NUMBER
CERTIFIED SURVEY MAP S f VOLUME Il , PAGE J?N, LOT NUMBER / ~ 3n
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 expiration date.
SIGNED: ~4.,,,ovw AwaLo
DATE: St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
• S T C - 100
I
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.
Ownerof property
Location of property S4 1/4 5C- 1/4, Section 7 TM N-R_/.~j W
Townshipo-T -e-f!) y Mailing address 76_4~_ Go jej 01
Address of site S'd& /=c~✓ t;~ G , ra A
Subdivision name ~1p~-e~, /=~,►~EC Lot no.
other homes on property? Yes No
Previous owner of property
Total size of property 1 7,
14G.~-+
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes X No
Volume 117f and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION TILE 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. D 22 , 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.
Signature of Applicant Co-Applicant
h:i~.a of
7-CERTIFIED SURVEY MAP.
Locatedin the SE 1 /4 of the SE 1 /4 of Section 7, T28N,R 19W , Town of Troy.,.
St. Croix County, Wisconsin. Being Lot 6 of the Plat of South Fork Addition.
Owned by: Gary Zappa
750.,B Sand Hill Pt. Rd. N. NOTE: Any building or. filling
Hudson, Wi. 54016 below the elevation of 866 is
prohibited on there lots shown
7 / I
c~ ' r I Iron is in but it is under
S the pavement.
89 ° 15j 56 " E
m~ 556.00
' 1
ti
al ARVEY G. *,1
LOT JOFINSON
15
pl 0 6
J~ p 92,707 SO. t'no I
J1, " r
O ° WI$
(2.128 AC.) a ~~I '
s'
866 CONTOUR PER ' W 0 O ' ~~f~iBiS12Sb~~a
1 PLAT OF SOUTH U. p WI
QI FORK ADDITION W JI
w O 3d I a t
W ` Bearings. referenced
in $ 890 15' 56"E to UI
_ to the South line, of the
350.00' o
o : IJ oint drive SE 1 /4 of Section 70
way ease 4-
1 a 30i_ $
ment. W 0.0 ~ S89c~15'bi Eas.
• 4
Z a:
01
xWl W I L-
I I NOTE: Joint. drive
t`-
a Z way easement for 4 t.
°o °
LOT 16 o ~I access to lots.'; l g
' W ! 0 O~
WI .r` 1 N . 92,707 $0. FT. Ni
UI 0j~ (2.126 AC.)
LEGEND
35010,
( Sectionccxae r ~k° N 890 15.E 56 " W Corner'
Monume~atl
LOT-5 6~
CERTIFIED SURVEY. MAP
3 Jig iron pipe
4
VOL. 7_, PG. 1930 a • found
Z" iron pips t _
0
_.~',ewdrsNeci~o-evra-FSan.s ntx~4'Vwii?,'~k .w.rM~...w~;'.~m~r.:.uJ.v...aa~+f~:'~91~RIM
r~
4 y
a((1 r r ° ~
LEGEND
' Area over 201o slope.
a Area of 171o to 20% slope.
z-
Area below the 866 contour.
rt~3 ~ ~ f
S 89'15'56"E 350.00'
I
` Syr u
4i N
OG
~ q t • • ~ . ~ _ you' 'S^'~
a _
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W
LO 7T 15
- &
s
1n LO
3 W
N 89' 15' 56' W 350
x ~ O O , I yA
0
z U)
LO T 16 th1~1111~ ' .
J~ CC HA
t, t ~X0 JOHN
CIO
6 UpSG
77,M N 89'15'56"W 350.00'
SCALE IN FEET I"_ 100= I 3` x t~; 'fi ~ '
100 200 300
'4 4.
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4
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VOL 3179PAlr076
543972 WARRANTY DEED
'DOCUMENT NO. This Space Reserved For Recording Data
REGISTER'S OFFICE
ST. CROIX CO., WI
Recd for Record
THIS DEED made between ZAPPA BROTHERS, INC., a MAY _
1
2 1 1996
Wisconsin corporation, Grantor and MATTHEW S. DEVORE and .
LAURA A. DEVORE, husband and wife as survivorship marital at 11:00 A. M
property, Grantees, -
Reg!i;ter of Deeds
Witnesseth, That the said Grantor, conveys to Grantees the
following described real estate in St. Croix County, State of
Wisconsin:
Io
Part of Lot 6, Plat of South Fork Addition in the Town of Troy, St. Croix County,
Wisconsin described as follows: Lot 15 of Certified Survey Map filed May 8, 1996 in
Volume 11, Page 3099, Document Number 543449.
$ r A DER
This is not homestead property.
TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and rights-of-way
of record, if any.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And Zappa Brothers, Inc. warrants that the title is good, indefeasible in fee simple and free and
clear of encumbrances, and will warrant and defend same.
Dated this day of May, 1996.
ZAPPA BROTHERS, INC.
(SEAL)
By: T. Z
STATE OF WISCONSIN )
ss.
ST. CROIX COUNTY )
Personally came before me this ) 7 day of May, 1996, the above-named Gary T. Zappa, to
me known to be the person w k the fore oing instrument and acknowledged the same.