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HomeMy WebLinkAbout020-1064-90-100 rY o ° I 0 60). M r (D I m N ~ ~ I N C_ Oc h ~ U ~ I N CL 7 CL LL o Eo 0 3 N 'v x v Q N 7 i 3 w z 6 rn Z = °o CD Z a co N I- Z O O Z c w m 'z lp o Z S E v ~ N M N 7 c cc N t0 V) C c C 2 ID a 'S 0 E ° I C c "D _lz ol O tD C •4V-_- Z m o Z N d c N t0 N Q ~ t6 Y ~ y = d _ CL a A r ° ° j to N d ` d c ° o C a a ° U) U) Y N 0. O O ~w 000 Z "~lJ _N C CL C, O y a y p_T • N m no to Q" rn V) J U S rn CD } 0 CD N 0 ° A \ ro E N N m tT w 0) ~ m Q } v) to I h N ~j O p f-- N C IV C F a0 c E co LO rn o a a 0 d a) c) -0 :z tnrnrnl U to ° E c 0 C c n O 7 N N (A N E y N C y e=y~,l I-a N v o obi p to E •ec O N 2 C7 N O Z c (n m € CL EL ` a • CL z 2 m r A 0IL2 ~0U)0 PNI Parcel 020-1064-90-100 01/12/2005 04:29 PAGE 1 OF 1 F 1 Alt. Parcel 24.29.19.247C 020 - TOWN OF HUDSON Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GIORDANA, PATRICK J & SUSAN L PATRICK J & SUSAN L GIORDANA 877 KINGSWAY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 877 KINGSWAY RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.750 Plat: N/A-NOT AVAILABLE SEC 24 T29N R19W PT NW NE BEING LOT 2 OF Block/Condo Bldg: CSM 9/2629 2.75 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1102/64 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 48149 289,000 Valuations: Last Changed: 11/27/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.750 55,900 167,700 223,600 NO Totals for 2004: General Property 2.750 55,900 167,700 223,600 Woodland 0.000 0 0 Totals for 2003: IGeneral Property 2.750 55,900 167,700 223,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 119 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 January 16, 1996 Hartman Homes P.O. Box 326 Somerset, Wisconsin 54025 ATTN: Becky RE: Septic Inspection for Pat Giordana Property Located at 877 Kingsway Road, Hudson, Wisconsin Dear Becky: An inspection of the septic system for the above address was conducted on December 7, 1995. This property is located in the NA of the NE% of Section 24, T29N-R19W, Lot 2, Town of Hudson, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. Should you have any questions, please do not hesitate in contacting our office. q1n ely , K. Thompson Assistant Zoning Administrator St. Croix County, Wisconsin mz °r A ~1 r 1a r f x, J I I 4 II STC - 104 AS BUILT SANITARY SYSTEM REPORT t~Q~ OWNER 21- ADDRESS£C I N\ I SUBDIVISION / CSM# LOT SECTIONN_RW, Town of ST. CROIX COUN WISCONSIN PLAN VIEW SHOW EVERYTHING THIN 100 FEET OF SYSTEM Q~ s- by INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: / Setback from: Well House ,~.2 ' Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to earest prop. liner ld~~~,/ Setback from: well: House Other ELEVATIONS Building Sewer 5?~` 7 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: h I 3/93 : jt I I Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division Sanitary Permit No.: GENERAL INFORMATION (ATTACH TO PERMIT) Pe i r DlamepAT ❑ City ❑ Village © Town of: State Plan o.: s A Hudson CST BM Elev.: r Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA 0 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 01 Septic 6t) S C D Benchmark Dosing .X~•/ ?3~ 97.7 Aeration Bldg. Sewer 95, 76 Hold' St/~kt Inlet TANK SETBACK INFORMATION St/ Outlet ?p TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ® a ~ NA Dt Bottom Dosin - NA Header/ 911 Aeratio A Dist. Pipe ZS SL olding Bot. System ,RJP'/ PUMP/ SIPHON INFORMATION Final Grade Manufatttxrer. Demand {`r`' OL . -S , /Jy 97 3 a r .cam al~° - Model Number TDH Li Friction System Loss Head For main Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width r Length v No. Of Trenches PI No. Of Pits Insid Liquid h DIMENSIONS S 152, DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI ufa~ure_r: SETBACK E INFORMATION Type O CH ER Model Number: System: e4a~ pd Yea, 5 OF(UNIT DISTRIBU ON SYSTEM Header kUgiiitf~ Distribution Pipe(s) x Hole Size x Hole ng Vent To Air In e Length ~ Dia. Length Z3 Dia. /4/ Spacing J`~ \ SOIL COVER x Pressure Systems Only xx Mound Or At- a Syste I Depth Over Depth Over xx Depth Of xx Seeded/ Sodded =Y-,El Mu c Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No COMMEN TS: (Include code discrepancies, persons present, etc.)., ,A5 "-p-d LOCATION: Hu4son.24.29.19W, NW, NE, Kingsway Road F~(% ?~r~46+'fr_. r~.J~"< fe ass r Plan revision required? ❑ Yes ~lo Q Use other side for additional information. 57;1 kvlrl/ / SBD-6710 (R 05/91) Date Inspector's Signa ure Cert. No Safety and Buildings Division ~~■I`rl"itn SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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. • See reverse side for instructions for completing this application State anltar Permit Number The information you provide may be used by other government agency T~.~ Y Y Y programs ❑ Check it revision o prevlo s application (Privacy Law, s. 15.04(11)(m)]- State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Prop y Owner Name P operty Location JU4 114, S T , N, R (or)!r Property Owner's Ma ing Address Lot Number Block Numbe, City, ate Zip Code Phone Number Subdivision N or CSM Number II. TYPE F UILDING: (check one) ❑ State Owned ❑ ity Nearest R d ❑ Village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms- Town OF III. BUILDING USE: (If building type is public, check all that apply) 113arc4!el1Tax Number(s)) ` _ 1 E] Apartment/ Condo C 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. I] 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 [@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.) (MinA ch) Elevation Feet Feet VII. TA K Ca in galloacitns Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in strutted Tanks Tanks Septic Tank or Holding Tank - ® ❑ ❑ ❑ ❑ ❑ III Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst la ion df Pw~onsite sewage system shown on the attached plans. Plumber' ame: ri Plumber' Si to * o mp MP/MPRSW No.: Business Phone Number: Plu er's A ress (Street, City, State, Zip e): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit.Eqe (Includes Groundwater Date Issue Issuing Agent Signatur amps) Approved ❑ Owner Given Initial M g 6 v surcnargeFee) Adverse Determination j5(i~ X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94)DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, owner, Plumber i INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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 II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family DwE:lling 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, listthe total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all ,eatic, 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 approoriate )refi), (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County /Department Use Only. Complete glans and specificatio s riot smaller than 8 1/2 x 11 inches must be sub,), itted t -j 0-e c!_,nty. The plans must include thku',OI owin : plot iolan, drawn to scale or with complete dimension,,; locate ~ x :;zinc tank(s), septic t, •nkbu Idingsewers; wells; water ma,V, SCi~,i_e st-<,_ , ~,ak(~~,; pumporsphon to k~,, 6 ,U_} t o; c sod au,orp,.ion systems; replacement system JreI;s, a t tie to _.~_~r,_ c `the I wilding served,- ,R) O z t <:i ( w'rh: 31 el _vL.fon reference points, CI complete spec ,.i~I~~t' Or pur'lr , a i._. F ont,ols; dose volume; elevation di',I-r--n(E:s; +cticm lots; pump performance -urve; pump modes any ~rnp m, i,rer, D) cross section of ,he s- absorption ,,sten-, if required by +.1 « coun, t~, soil test data on a 1 1 iirm; } I Jzino information- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practi, e which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Ua~~ c~v~' s~0i L ~/uosa„1 9s J i 4 4 /o/ s" r/A O ih Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page-/ of -5 Labor and Human Relations Division of Safety & 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 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP TY OWN 1 is PROPERTY LOCATION / GOVT. LOT 1/4 1/4, T - N,R C oryQ PROPERTY OWNER': 'MAILING ADDRI~S LOT # BOCK # SUB NAME OR CSIM # 77 z:q 4, Al; ~ Ig CITY, ATE 'ZIP CODE PHONE NUMBER []CITY VILLAGE OWN NEA T OA ( ) V New Construction Use M Residential / Number of bedrooms Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate _ 7 ed, gpd/ft2-,? -trench, gpd/ft2 Absorption area required '6 ? bed, ft2 trench, ft2 Maximum design loading rate - X bed, gpd/ft2 ,.2 trench, gpd/ft2 Recommended infiltration surface elevation(s) !Z --~2 ft (as referred to site plan benchmark) Additional design / site considerations Parent material 14rl r Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ~g S ❑ U OS ❑ U 1S ❑ U R I S ❑ U ❑ S O U ❑ S 1011 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground t. elev. ft. c - Depth to limiting factor yiio Remarks: Boring # ,.5. Ground elev. ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: Signature: Date: CST Number: PROPERTYOWNER _47 SOIL DESCRIPTION REPORT Page,' of'-? PARCEL LD.# Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boundary Bed Tnch "mow..>: ' 4 /l E\ :l Q /10 ZZ, :i -7 Z i 1 ~C t 1111ba, __e_ Ground _ S elev. ft. - ZZ"C Depth to limiting factor I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) A6E.~©Ifs ,IIJ sze,~ 577 -x J( oGEC-9-7~m•J v Fs,~ i t i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS Y PROPERTY ADDRESS (locatio of septic syste ) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCAT ON_") 1/4, 1(/C 1/4, Section ~ T,:2 N-R ,Z9 W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER nn CERTIFIED SURVEY MAP ~O'K ,VOLUME-, PAC. Eoc~VAC-),LOTNUM13 ER Z 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. UWe, 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: DATE: 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 Location of p operty1/41/4, SectionTN-R Township Mailing address Address of site Subdivision name Lot no. a Other homes on property? Yes No Previous owner of property Total size of property 75~~6s _ Total size of parcel Date parcel was created Are all corners and lot lines identifiable? No Is this property being developed for (spec house)? _Yes /No Volume e) and Page Number 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. s'Z~ 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. Signatureof Applicant /b)-Ajp~pil cant: Date of Signature Date of Signature 8 FILED Z JUN 2 21993m JAMES O'CONNELL Register of Deeds St. Croix CO., WI ? v' CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE 1/4 OF SECTION 24, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN mzzzz prom v mm0mo oac ;o UNPLATTED. LANDS I z = m m x i a m z i WEST LINE NW-NE y Z n D y Z o N0014'08"W 435.27' c m ° z w ° Q O y O 150.00' 285.27' v 50, 50' m x a N $ o I m m co O I . C z Irl I r m .v I N N ' Q APPROVED S w u~ dV r ? to 0 11 m ' D 14 p I AM 22V ~y W z m Z Im co y I : Z 5T. CROIX QTY • Z ~ 1 m ;(A . ; ~ l~a~'iti CNIIIIJ~ltrll m . m N tot i.cl.d a i k = y r y m 1 C ~ o 7t~f~Nfi11 y pmc I I O Z MRav4m 'l mmr _a :r al • o Vr O ~ Z lmg k Z • N Z W = ~ m~ I '•p 'i D a N Q m N GN r vN C r? m m ~A 0 m N ww 2 m 1 c v r- 70 z i N m a V m co zoa rn rn Q om N w I I c m r F m m $ ro Im N 50' 50' c 0 44Z g ~ ~ ?+rao f v ~ ~ o x co ;0 Iz c ~z NA ° 100 orn Q ~ °vi ~ I~ I r ro: mm m ~ ID Z zl' x m u: 1A m Ir m Im e Iwo o S r- o 85.41'' 482.00' I SO°15101"E W S0015,01 "E .56741' 753.58' m EAST LINE NW- NE N _ Q a UNPLATTED LANDS, •v ;o w• y Ef 3 ~~~q~fi1~~0% m r= M. w 1 z O H A ® 110T"y m i y m ~ Om f ~3 f►b,~~ (~~I mq i<~m mM 1mym3 C~ fn ~ma n a A z0 ~F ® v / e~ oyo'n' rzo~xicm v n~ z z x v o a Z. 11 m ?o ® _ m wppm ~2cnm3 ~S o"'~mmvmom~ oz 0 rm mini a® viz~yy°zcy cm . o ~ymr {m y ago rAM ; m°an°?=1D0F yA % ~ N.' xmrnnczg-+z m ®~0$Rw°~`~ 92-38 SHEET I OF 3 VOLUME 9 PAGE 2629 DOCUMENT NO. 'r r_o vow we.:~A-:, r+a oa ra WARRANTY DEED STAT;J BA 'ISCOti ~ FORM 2-IJ82 5iZ3~~5 Vol~v, ~:0~~ + : ; A ti r---------- - - _ ,.7!11 ~~.,..,~~~J~ Burt R. King. . _ NOV l.~ I • ? - - - 1• 15 µ P I . id. t u conveys and warrant; to .P.at.Cick.Jl . GlOrdana r?IIGt Musa. L. i, jl ...Giordana,-husbard and.wlife,-_. Ii . I~ - I - PET~~N to - - - - ~ I the following described real estate in St Croix - - - ..County, j II State of Wisconsin: I Tax Parcel No: I Part of the NW1/4 of 'IM/4 of Section 24, Tm-nship 29 North, Range 19 West, St. Croix County, Wisconsin, described as follows: Lot 2 of Certified Survey Map filed June 2, 1993, in Vol. "9", page 2529, Doc. No. 501128. j ii I~ y~S 0 This iS._nOt........ homestead property. X14XX (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 31st- Clay of October. , 19 94 (SEAL) [c~~ t ' - - - (SEAL) II - - _ - Burt R. King i --------------(SEAL) (SEAL) r, - AUTHENTICATION ACKNOWLEDGMENT II Signature(s) STATE OF WISCONSIN Ss. 'I ~Eh St. Croix County. I` cou authenticated this day of tt4~- h., Personally came before me this 3.1`x+•---day of 1~RY _QctQber--•-------------- 19..9~►.. the above named TITLE: MEMBER STATE (If not- . authorized by 706.06, S ~ O{to me known to be the person who executed the jI Faregoin nstrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland - Attorney at Law - \ota lie _5r -btDly---... _ ...County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanen'. (I not, state expiration are not necessary.) date: 19-11 eMantes of persons signin¢ in any capacity should be typed or prin-d bot- S,:a Fisnaturea. WARRANTY DEED STATE BAIT Or ScTSCONSIN Aisronstn Legal Blank Co_ Inc. FORM 4. 2- 3Y]? 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