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HomeMy WebLinkAbout020-1304-30-000 ti Q ~ v ° I rv M; 0.0 O O a O c I r. o I 0 N I i r: i ~ I O i I ~ I z C LL C 3 .O I a I I 3 r~ z H z E o z a m rn o I o z ,f c o I U) CD z a .2 m N CM C; O N j m W O_ r-1 • 0- .0 O Q O O N Q w Z co z N U z C O N rn E Y I ~l O i' N! GI O C 2 O ~l C a O. O~ N fn m 0 E w O H O EL z O •ti a a a M 0. 4i c o n U') N = o cn J V rn rn zo- 7 0 O O mm ~ I c ~ co J O O ~ m a I c a Q > m _ Fm a' y 04 O O O O H C O O O qc Y 3 OO h O O r C O r m t2 o a a s o rn °o I v o ~ m E E a~i a, oN~i m CO w C L L .~V 00 00 6 N Cl) O H H N ~ No N ° co NZ) E E ol~ a r~~ e u 'c d 0 It 'o L) IL 0 US 0 AS BUILT SANSTC - ITARY 104 SYSTEM REPORT OWNER..~A l" 111'11Z L G~ ADDRESS RegY R 7- 1~lo oW SUBDIVISION / CSM# -,-AN A4C P /h &4 LOT SECTION/_L_T - N-R Town of cJ $ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 027 Low t i~/~' TV, Pof z .•I Rvti/ ~i E I = /00 ov' SC A« a-~ 70 yo 20 ~o ~ y ~t~ ~t ~ hf6J 5 ~ 1 ' ~X5 ~~.-)'6 83 J Ca F ~ ~ r N II y~ ~ I INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: I o P © F Z /pE Xr /Vf c/6t,,YEf- ALTERNATE BM: ► Of c~ KoVS F Fay&D4T/a N E r TIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Wets Gz_ Liquid Capacity: loon 6,4 L, Setback from: Well L Z House Z o Other y Z/ 7-6 NoC14 L0711X,,j~ Pump: Manufacturer. = Model# Size - Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length q o Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet:, ST outlet i PC inlet PC bottom Pump Off Header/Manifold Bottom of system 3S Existing Grade (D, 2 Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Faber and Human Relations INSPECTION REPORT ST. CROIX Safety a>tid Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI MILLER, SAM X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ~lJ jJ~ , CU % C.: U , ~G L-r•, it . 1"" f,~ <.r. ^VUVUVUJL TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic- Benchmark Dosing U . , /a3, Aeration Bldg. Sewer Hold' St/ bllnlet TANK SETBACK INFORMATION St/* Outlet Vent TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet Ar Septic r NA Dt Bottom j Dosin - NA Header, Aeration NA Dist. Pipe Holding Bot. System' 9S --7' PUMP/ SIPHON INFORMATION Final Grade c 7 Manufacturer Model Number GPM TDH Lift Lriction System TDH Ft Head Forcvli ain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length,, No. Of Trenches PIT No. Of Pits Insid - Liquid Depth "t DIM N DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE STREAM G Manufacturer: SETBACK INFORMATION Type Of n AMBER System: r "J Y1,, OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spa ent To Ai take Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gr e Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/T Genter Bed/Tsad!rFdges ° Topsoil E] Yes ❑ No C] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.11.29.19W, SE, NE, Lot 6, T-anney Lane ? Plan revision required? ❑ Yes 04,10 / 1/9 Use other side for additional information. 09 SBD-6710(R 05/91) Date Inspector's Signatu a Cert. No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: L 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 Coun than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number a;;I.%35 The information you provide may be used by other government agency programs ❑ Check it 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 5.4M M I-LE.e 5E1/4 n/A-~ 1/4,S T Le/ N,R If (orkvD Property Owner's Mailing Address Lot Number Block Number se-*-, ZFl L City, State Zip Code Phone Number Subdivision Name or CSM Number v .S.01 ws _11-09 /41 (3g) z7 T-A/VNY II. TYPE F BUILDING: (check one) ❑ State Owned ❑ Lit( Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms -3 ❑ Town OF I40D So N TA NN r 4,4 N III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) y 1 ❑ Apartment/ Condo 010 - / 30 4/. " O 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. 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 210 Mound 30 ❑ Specify Type 410 Holding Tank 1 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) Elevation 1 (,-(,3 7 Zo - 7 g$, Feet Qf, S Feet VII. TANK Capacity g allons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Exist in strutted Tanks Tanks Septic Tank or Holding Tank /DOO GJe i 54- r ® ❑ ❑ ❑ ❑ ❑ 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. P/MPRSW No.: Business Phone Number: Plumber's Name: (Print) Plumber's Signature: ( tam FAII • 3sa a 38'6-8'69 z o ALL s Plumber's Address (Street, City, State, Zip Code): FEN WLL. LA-NF- L)D 5 a N W. yo /6 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date ue Issuing Agen Signature ( o Sta y~D" / Surcharge fee) Approved ❑ Owner Given Initial /o ~ Adverse Determinton / X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6396 (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: 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. 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 number; 1 through 7- V11. 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 vvith 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 hc;idinc tank(s), septic tank(s) or other treatment tanks, building sewers; wells; water mains/water se vi(e; stre<ams,:n-! lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the loc --icw ci the building served.; B) horizontal and vertical elevation reference points; CI complete specifications for pumps ar;f 1 ontrols, dose volume; elevation differences; friction loss; pump performance curve; pump model anc bump manufat: urer; 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. wEsriar E zoo Z~, ~N I3 r T r o ? N o `0 0 r N m w w a D kv LAI O 1n~ ~ _1~•~0 ~ O Z ,,a ti N ~ ~ a ` In rn ^ R~ 0 L _ S t a A. % w 1~ ! # r NJ kA c' p X .13 h ~ J 0 o i ~ Z R~ N O 0 = WWWJ a ~ W? ` D.. ~ OYY' _ ~I- ~y W > ~ x ~o oj~ ~ o~ r _ E O0 Rd' X f a P -SL z r l M r .1 U w P3 # z I v I I I i a. x W j o 1 j I o a I Ma I j ~ ~ I a U I I j ~ ~ 0 i U) 0- m I I I a I ti I I I ~ 4 I I I U Z ;r, I iD I c-D I M r I I I I W L a I r) I I I -j I m j I I O w ~ I o I I U >o I J i t I Rd. I I Z i to r J I I I A5 r- loz W I I I > I O ~ I I I r 'd' I; I I I w ---------I---------~ j a L J i r Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page/ of 3 Labor end-Human Relations Division of Pafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ` COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but r x not limited to vertical and horizontal refs PARCEL I.D. # rence po dirt and /o of slope, scale or dimensioned, north arrow, and location and a c~ Is, r APPLICANT INFORMATION-PLEA R T L J~,FOR I N REVIEWED BY DATE ~r PROPERTY OWNER: ~V PROPERTY LOCATION GOVT. LOTSt-- 1/4 (or) 'JAM /4,4. ~E 1/4,S / / T 19 N,R / E W PROPERTY OWNER':S MAILING ADDRESStiLOT # BLOCK # SUED. NAME OR CSM #n `rT dN rJ C Y 1C i u CITY, STATE ZIP C F . lJ BER []CITY []VILLAGE MOWN NEAREST ROAD 1-7-4QN&Y L4Nl-r [J~' New Construction Use (J~ Residential / ofw s Lt N'c [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate 0 S bed, gpd/ft2 0.6 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations : V AL LjA T 16,J L6,4,6 '~-bt Ar A P P1?Q YPQ L Parent material Flood plain elevation, if applicable ft S = Suitable for system C VENTIONAL SOUND IN- ROUND PRESSURE TTRADE SY TEM IN FILL HOLDIN K U= Unsuitable fors stem S❑ U [d S❑ U S❑ U ❑ U iS ❑ U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BOund~ Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch I x 0-i /&,ze L n7 Ground $ / y 4 S : C / M sb K ri► w / 0•Z 6 elev. 0.7 p "/fS :sL)ft. 3122 1AYP 414 Depth to limiting factor 7 1617 Remarks: Boring # 4 p l ~Y 3/ L 2 s b1C r Z ry! 6.5 4.6 3Z ion PP, 4 S~~ I Sb ray c w 1 0? 4,3 _ 3z _6 414 Al s ® c La d Ground Moll / ft. Z"12 >d~l d SGT m 1 p,7 9 elev. Depth to limiting factor > IQ _sI Remarks: CST Name:-Please Print Phone: Q~ Address: a, 16 Q j Iy U ~j5a tJ Signature: Date: / / u CST Number:-,4',, PROPEM'f OWNER 'S4A ftLC62 SOIL DESCRIPTION REPORT Pagez of 3 PARCEL LMU LOT O iANN~Y i ~C:~' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench p-/ b 14y 3 l L S 2 >h 4.~ p .6 ) Sig M 1 o z o 3 Ground $ - 3~ /D `/rQ 4 S J ILK /h (s 0.4 6 ,S elev. iod.5.3ft. ,-11 g i 0 s ® ~ d? 0 Depth to limiting 0 Az, 01 C Remarks: 146 Boring # A 0-1/Q/®e/ - c lhJ►r ~/h Q.S `0A r S V / S / 3 C C~ n. 19-3~ lose, 4 3 - 5; L 5bK m v I' ~F- jZ I&YR 4/A Ground elev. '97j.0* ft. Depth to limiting 'Mr--A, 75 y,Q Q S m O.S Q factor > 16,6% Remarks: N,I® J'IbTTLr~y4 ; lgcaY ~f:(~UZt~ ~(2C IC~~N Boring # s LF.:v -Z,h C r- n,~r ~ Z~►-~ O S 0.6 4w zo-4 10 4 z s;C J M sing A ~v S) 0. :03 41-6 IoY 4/4 elev. Ground / L ft g i2 p`/,Q 1 S Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 1 A4C 3-O \ r t ~J LA r N i W r r \ CP b 3 i w g° ~ G~j w z ~ do / D \ pb cv vt • 0 STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County O WNER/BUYER S A M 1 L- F- MAILING ADDRESS B6 x Z~ -,e-- KU A 5o A w x- syot PROPERTY ADDRESS 10 to Z 7-,4 ,!/Al e 4-A)V r- (location of septic system) Please obtain from the Planning Dept. CITY/STATE 4 U D S ON~ W St/D l PROPERTY LOCATION S E 1/4, /V£ 1/4, Section TAN-R /9 W TOWN OF L)1~ 5 pN ST. CROIX COUNTY, WI SUBDIVISION -TA-N N Y R 11) 6r, F- LOT NUMBER (0 CERTIFIED SURVEY MAP SZS9SG , VOLUME ( PAGE , LOTr"UMBER(,"'_ 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. UNVe, 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: o ~b/t [)A ff. 4-1 - S C - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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/ 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 5,4/.•l Location of property 1/44 1/4, Section T Z-y N-R J,~P Township 0 b .5 0 N Mailing address 73 OX'W z- e Z-- u.~SO Iv Wes- f`/~l~ Address of site~~ to Z -FA N N Y LA YL N U 050K, S-Vo Subdivision name 'TANA) Y A- Ili Lot no. to Other homes on property? Yes X No Previous owner of property Rio N U H yL S YN A N Total size of property 2,01 A4, Total size of parcel Z,01 A e-- Date parcel was created - 9 3 Are all corners and lot lines identifiable? )C Yes No Is this property being developed for (spec house)? X Yes No Volume 1031 and Page Number 'YSlo 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. _$O 148, SS and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. So y 8' SS Signature or-Applicant Co-Applicant y -~-cr=y Date of Signature Date of Signature ENO DOCUMENT NO. STATE BA F WISCONSI ORM 1- 1882 THIS aeACC RcsLRVCn FOR RccoROiNO DATA AARANTY D D 504855 103i►AGE 456 - CJST"Z'S OF1CE T This Deed, made between Randall W. Synan and Patricia E. Synan, ,ec',j "ar Record - husband and wife Grantor, I .SE 1993 and ...Sam E'---M31_ter'--.a-•single- person 10:45 A Grantee I R'"-rs~' ~I oos Witilesseth 4hat the said Grantor, f r a valuable consideration..-.__ Randall W.' S....................... RETURN TO conveys to Grantee the following described real estate in St . Croix County, State of Wisconsin: Tax Parcel No: The SE1/4 of NE1/4 of Section 11; the SW1/4 of NW1/4, the N1/2 y< of SW1/4, and the South 53 rods (874.5 feet) of the SE1/4 of NW1/4 except the East 74 feet thereof, all in Section 12; all in Township 29 North, Range 19 West, Town of Hudson, St. Croix _ County, Wisconsin. I, FFZ, AND A parcel of land located in part of the NE1/4 of SE1/4 of Section 11, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin further described as follows: Commencing at the El/4 corner of said Section 11; thence S89 3010011W, along the North line of the SE1/4 of said Section, 1212.32 feet to the point of :.eginning; thence continuing S89 30100"W, along said North line, 66.00 feet; thence SOO 28103"E, 500.00 feet; thence N8q 30100"E, along the North line of Certified Survey Map filed in Vol. 013", lox Page 722, 38.08 feet; thence N00 11133"W, 150.00 feet; thence N03 58134"E, 351.07 feet to the point of beginning. This i_$--AiPt---- homestead property. (is) (is not) Together with all and singular the hereditament' and appurtenances thereunto belonging; And..... Rlkdail-_ WSynan--and--Patric-i•a_- E.---S ynan - - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend the same. Dated this 9.3-. day of PAUgL1St-....... 19-- 11124- - GrYHd'Y (SEAL) bOLZFA. !1......... -------(SEAL) Randall W. Synan a Patricia Synan ~y (SEAL) -------------------------------------(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ' St. Croix --County. ) authenticated this day of_________________________ 19______ Personally came before me 3 day of AuguSL , 19. . the above named l • j . Randal--l W. Synan, Pat•-•ricia E. X TITLE: MEMBER STATE BAR OF WISCONSIN Synan (If not, AA -031- iI authorized by 708.06, Wis. Ststa) to me known to be the person $ --_-N9~1{tSCO he going instru nt and a n wle~*e* THIS INSTRUMENT WAS DRAFTED BY ' Kristina Ogland At-COrney--a't--f;av------------------------------- Alice Jo y oAors st----- c>'-six--------------------------------- Notary Public - _--------------County, Wis. tY (Signatures may be authenticated or acknowledged. Both My Commission is Permanent. f not, state exp ation are not necessary.) date: 1Q.) 'Names Or persons signing in any capacity should b• typed or printed below their signatures. - - - WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc FORM No. 1 - 1982 Milwaukee. Wu. OZ Q _ . ° O ~ W 1 11 'sorar~ N ~ ~ '.4A 3 Q ~ ; 71ni 17NNn ~ W g 0 I is sF t ~ s Q _ •fs. 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