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r ST. CROIX COUNTY
f~. WISCONSIN
ZONING OFFICE
r r r r r r r r■ ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
-.I
September 7, 1995
Hartman Homes
T P.O. Box 326
Somerset, WI 54025
Attn: Becky
i
RE: Septic Inspection for John Monce
Address: 730 oriole Lane, Hudson, WI 54016
Dear Becky:
An inspection of the septic system for the above referenced
address was conducted on June 30, 1995. This property is located
in the SE 1/4 of the SE 1/4 of Section 27, T29N-R19W, Lot 48,
Humbird Hills, Town of Hudson, St. Croix County, Wisconsin. At the
time of the inspection, this septic system was found to be code
compliant for a four (4) bedroom home. Should you have any
questions, please give our office a call.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
St. Croix County, Wisconsin
db
STC - 10
AS BUILT SANITARY S REP RT ~p
OWNER
ADDRESS ~ rye J ~
£ Z
SUBDIVISION / CSM# LOT #
SECTION_T,=,22 N-R_,2,?_W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EV RYTHING ITHIN 100 FEET OF SYSTEM
ALk
i
>y
ii r '
/ = y0 Sc~- ~
i
1
I
~f
~d T~i.,7k r
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.
i
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer ~ 6t~~ Liquid Capacity: /
Setback from: Well- House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length 2'~ Number of trenches
Distance & Direction to nearest prop. line: Z2
Setback from: well: House Other
ELEVATIONS
Building Sewer 107-YV ST Inlet. !}'797 ST outlet
i
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Graded Final grade JaD.s`
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:-
3/ 9 3 j t
Wisconsin Cepartmentof Industry, PRIVATE SEWAGE SYSTEM County:
' Labor a~„-i Human Relations INSPECTION REPORT ST. CROIX
Sal`ety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State MOO
MONCE, JOHN X
CST BM Elev.: Insp. BM Elev.: BM Description: f/ Parcel Tax No.: A95 144
TANK INFORMATION U L/ ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S o Benchmark o3, /d
Dosing 6j{,r3 a) a15 /oo,
Aeration Bldg. Sewer S 16 vcr
Holding St/ Ht inlet 3 97, -17
TANK SETBACK INFORMATION St/ Ht Outlet 9 7.8
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic >a s` }U NA Dt Bottom
Dosing NA Header / Man. L, Z 9 7,
Aeration NA Dist. Pipe , 3 5 97, d S
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade 3, / io D.S
Manufacturer Demand qq, 3 9
Model Number GPM
TDH Lift Friction System TDH Ft
oss
Forcemain Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS %d -7-11 1-, DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO /P/ / L BLDG WELL LAKE /STREAM
INFORMATION ptem: 1,4 OR UNIT Model Number:
Sys
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 L1 Depth Over U 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: Hudson.27.29.19W, SE, SE, Lot 48, Oriole Lane
rte? ' ~ /1,o~~-l ,P-~•
A,.
n. Xj L 7
Pla revision required? 0 Yes r No~J Iyc "A
Use other side for additional information. k; ~j 1,9, lk
SBD-6710 (R 05/91) Date ns a or's signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
I
I.k
Saureaufetyof and B uiuildinldinggsWaterDivisionSys m-
i B B
~.■■..r.R 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 81/2 x 11 inches in size.
• See reverse side for instructions for completing this application State san erp,it Number
it 43
'
The information you provide may be used by other government agency programs E] 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
Proper-710' wner Name - Property Location
1/4 1/4, S T , N, R or
Property Owner's Mai I ddress Lot Number Bloc Number
1
30
City, ate Zip ode Phone Number Subdivision a e or CSM Number
( )
I. TYPE OF BUILDING: (check one) ❑ State Owned ❑ !ty Nearest Road
❑ Village 4
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 26L_641 A -lel
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
020-I~36~-36-rorz)
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 OnlyExisting 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-Fil I
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 ./'nch) Elevation
eT7 -,7 al_. elzl Feet Feet
VII. TANK Ca
in gallons Total # of Prefab. Site Fiber- Exper-
INFORMATION g Gallons Tanks Manufacturer's Name Concrete co" steel glass Plastic App
New Existing strutted "
Tanks Tanks I 1i
Septic Tank or Holding Tank - P-_+ ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans.
Plu ber' Nam nt) ~l Plumb 's Si a r a s) MP/MPRSW No.: Business Phone Number:
/ " -
P umber' Address (Street rty, St Zip
IX. COUNTY / EPARTMEN USE ONLY
Disapproved S nitar P mit Fee (Includes Groundwater ate Issue Is Agent Signatu (No Sta ps)
~ Surcharge Fee)
Approved ❑ Owner Given Initial
Adverse Determination / u (J I
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to Gounty, One copy To: Safety & Ruildings Division, Owner, Plumber
INSTRUCTIONS L
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.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwclling.
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, r+ connection, or repair.
V. Type of system Check appropriate box depending on system type.
Vi Absorption system information Provide all in.formatior requested for ncl~r!hpr, ! th,oUC'
VII- Tank nformation. Fill jr-, the ca;,,aci ty of every new/or existing tank, list the to (:a,lons, r 1 - ~ of tans and
r++.Jrufacturer's name; indica !e refa ~ ors ie constructeJ and tank mat,ria` ~ ~letrL, f ; all c, pjinp/siphon and
holding tanks for this systern_ Check experimental approval only if tank eape-i ri ~ ~oduct approval from
DILHR_
VIII Responsibility statement Installing plumber is to fill in name, license nl-fnl.;er .,v, 0- ,pr)re (e.g MP, etc.),
address and hone numnber_ Plumber must sign application form
IX. County/ Department Use Only.
X County/ Department Use Only.
t' _ s i .C' smdi _ R iL X l ^t~;T {11 'l+ns r7=itst
Ji'.:.311 a~A ._.-E:J+l:. se~(f~-
. • _ r..:., J~f cal-il)
SeC
llatl7
GROUNDWATER SURCHARGE
e~_ c) su'charges 'f esj ^r C„
cPleC:
ae .,rc;arges are used for ; icji-^:ns
Oe~ / T ~C ~T~ir'
/~O~I) Gtr vl"l
la/ ~
f
/+cc/.'~S/2a r
AI
1
S-
PAGE OF
CrUSS Jec~lun pX A zel) SySter'1
Fresh Air Inlels And Observation Pipe
1-Approved Vent Cap
Minimum 12" Above
Final Grade
20- 42" Above Pipe _ 4" Cast Iron
To Final Grads Vent Pips
Marsh Hay Or Synthetic Covering
win. 2" AggregaU
Over Pips
Distribution
Pips 0 0 0 0 0 -Tee
6" Aggregate 0 Perforated Pips Below
Beneath Pips
-Coupling Terminating At
Bottom Of System
Prop 05eD P, J (1gr~.~1c
ton
SOIL FILL
DISTRIBUTIOKI PIPE
APPROVED S4IIl1I4ETIC COVER
` ° MAT~RI1~1 OR 9 OF STRAW
Z~ OF AGGR EGAT~ OR (+~ARSU HAy
s
'^s
(eOF 12 - zt/Z AG GREGATF-
tLEV. OF FEET
OISTR19UTION PIPE TO BE AT LEAST r-2G WCHES BELOW ORIGIIJAL GRAOE
A►.lU AT LEASTZO 1AJC14ES BUT IJO MORE THA►J 42 IAICNES BELOW FILIAL GRADE
MAXIMUM ®F-PN OF EXCRVATiow, FR014 OKIGINAL 6KAoF- WILL BE / WCHES
MINIMUM ®~'?'►i OF I AvgTImN FROM I61bAL ~aRapf= WILL BE INGNES
SIGUED:
I
LIGE►JSE. AJUMBER:
DATE: Zz - 1`~,L-
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY
s"T. c~oraC
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: 11111%51111W ~fi/ f ,9.vD O PROPERTY LOCATION
GOVT. LOT.SE 1/4 s- 1/4,S ~7 T Z9 N,R If E (or) W
PROPERTY
33ee BATS ST W LOT BLOCK# AiUMB PD H NIS (KASE- 3
CITY, STATE ZIP CODE PHONE NUMBER / []CITY OVILLAGE eMN NEAREST ROAD
190v G /t1 N~ .55 /o/ (G~`i) Z 2-2-5;S!5_5 -H U VSo,J O .Pi 6LE LA./
Vf'N'ew Construction Use (4,* Residential / Number of bedrooms ' 3 Addition to existing bulking
(J Replacement (J Public or commercial describe
ysa -
Code derived daily flow boa gpd Recommended design loading rate ~ bed, gpddt2 ~ trench, gPd/ft2
Absorption area required bed, 112 / trench, ft2 Maximum design loading rate bed, gpdA0, trench, gpolft2
Recommended infiltration surface elevation(s) S~ P ~A • 33, ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material f~5 G 13 V eft , ^AP T S/ Flood plain elevation, if appli6able 41,4- It
ING TAW
S = Suitable for system om MOUND IN-GROUND U ESSURE T- S AT-GRADE I SYSTEM birl ❑ S IN 20- 1 DS
U= Unsuitable for system GaO U O S fd U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence BandW Roots GPD/ft
Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench
i O-117 /o y/? 312- 51 .2 56,E /~M s Zf s
L - /G /o y/e Yl' l - .S/ Z f s 6~ ,.,-F* R irS Z f ~ s c
-So
Ground 7
elev. /p/9L 7 °j
tt /CJ
Depth to
limiting i
factor
Remarks:
Boring # l D /Q 3/Z CO.~rPi¢cTflJ S/ Z n~ 2 [F5- -)J N tit
Ground 3 IS /0 ye .0;/ CY -1
elev. 1,7 -yp /p S/~ s
,
Yoe
y~ ft.
Depth to
limiting
factor „
> F4
Remarks:
- 3 P6
CST Name:-Please Print ? 0 (3E P T Phone: 715_
Address: Cps S 4' f D UP-SO A ) 40 IS f141 CST~11 y~Z
Signature: Date: CST Number:
w 7W,-L~~
This test ette APPROVED ORIGINAL
for a conventional septic systenl-
l
i ~
L
2 3
PROPERTY OWNER SOIL DESCRIPTION REPORT Page_o(
PARCEL I.D. # ""T ~00 1111`41/PP ff/!IS /ate ke 3
Boring # Horizon Depth Dominant Color MotBes Texture Structure Consistence Bounday Roots GPD/It
In. Munseli Qu. Sz. Coat Color Gr. Sz. Sh. Bed tench
D-2 Y)e 3/Z 4016,01feM-V 2- 411 4*v~~ 2S ~f N ,v
y /D ye y/f S/ z f sd~ fie C'S 2 s G
z .22-1
y/~ - S~'/. sd.~ f/ ~ a S _ • 5/ • S
Ground 3 3/ y A );V
elev.
114 ft. y(-sa 7,5 Ye , s. o 100
Depth to D -90 /v ye sIC-e ~S O's
~.Q - - •7 8
limiting
factor
Remarks:
Boring # D- /G YX 3/Z 51 Z f sdX 4,q v fe C S z f . S
1-7 -Y~ e es
4 S . 2-P cS - -
3 7-,30 /o ye y C's
Ground
elev. Q !~D /J S/G S d, S
9 76 z. rt. i
Depth to j
limiting
factor „
Remarks:
Boring # /d Y2 31Z f/ S/ ZM, .Q ~,t v~`i ' 4 s z f N N
cz,~;. 2 z3 /V y~ 31y z f sd,~ s /f .s
Ground
elev. 0 -7, 5 cs
/o~• zs rt.
Depth to _
limiting
faclprs,, I
Remarks:
Boring # _
I
Ground
elev.
it.
Depth to
limiting
factor
Remarks:
con ebenio ACMn N
- ~~Ellq'~/OAS -
i
~ 3 col, ~G
113
/3s boo • Zf- '
spy fps ~v T~'E,v S c,4 3 0 "
eC 81 - 13 -13
l3,gc~Lcoe /~i•TS
~d T,E'E'va~
y 133 sy,
99
0
V
• iz y
es
3 ~o
ro'
g~ Z
J~1
~'y fr SE LoT
= /pO . D
~ N °3010 W 664.12' S
F9
S45'50'00"W r
86.82'
S44° 10'00"E
66.00'
463.13'
So S9
S Z s~
3
Sy ~ ~S S~
1 S89°30'15"W 942.42
N °30'10"E 664IL V. ADDII
EL = 956
LOT 46
3.83 ACRES
166,995 SO. FT.
EL = 1003
N87°03'48 "W 593.89' j'
500.77 93.12' tiss°
gs0
N
s LOT 47
os . ,
a 3.14 ACRES
Q 136,993 SO. FT.
S88°03'33"E 724.95'
576.25' 148.70'
O
LOTAP t 1
2.84 ACRES i 33 33
123,747 SO. FT.
i N
N74057.,w 1 vo
42 Ul O i
SST 60 O
58, X00.97, i ro o
1 'A 1 N
N
W LOT 49 t 1 r
- l43 3g, O
3.11 ACRES
C 135,291 SO. FT. w
/T,
0 1
S83°28'58„ i
E 654.00'
520.40 I
t !
133.60 1
N LOT 50 ' o , Sa,
W r 1
1
3.00 ACRES O i
$ 130,489 SO. FT.
I ~ 11
_ ~ ~1 11
N88 °15'13"W 650.76' 1 1
375.00' 275.76'
1
2 1
0 's 1
7
I OT !i9
STC.105
CWTIC TANK MARMNANCE AORZEMRNT
lit. Croix Covaty
OVb~NZ1iMUYEit it) Atlea e .rY1 l'd~ _
MAIMa AMR = loo
raOPMTY A13hRM
(location ot sepdo system) Please obtain from the !'Manning Dept.
C1TY/STA'1'S
PROMRTY LOCA-!~'lON E U4, 114, Section , T~ 1 1V•R r ~V
TOWN OF ST. CRO1X COUNTY, WI
ft"I MON j'V1 ( ..d.T S WT ti'V1Voss ~~1Q. Sa% 3
CERTM=$TJRVEYKAP....a v0LUlV1M,...,.r PAaE . LOTNVb13ER
Improper use and maiatenenoo of your septic system could result in its prommaturo failure to htat41*
wastes. Proper maintenance consists of pumping out the septic punk every throe yeah or sooner, lr needed
by licensed septic tank pumper. Who you put Into the syaorn can atfbat the (Unction of the septic sulk
as a treatment stage in the waste disposal system.
St. Croix County rosidatto may be eligible to ro"Wo a pram for a maximum of 60% of the cost
of replacement of a 211101 system. whhi6 was In operation prior to July 1, 1975. St. Croix County
eampt?ed this program in August of 1990, with the requirement that owners of all new systems agree to
keep their system properly mainlained,
The property owner arm to submit to $t. Croix goring a oertifioation form, signed by the owner
and by a mater plumber, f oumoymatt plumber, restrioted plumber or a licensed pumper verifying that (1)
tho on-site wastewater disposal "m Is in propbr oparsting condition and (2) aftbr inspdation and
pumping (if neoesssty), the septic tank is lest than 11) loll of sludge and scum.
1lWe, the undersigned have goad the above requirements and agroo to maintain the private sew4r
disposal system in wwr0artw with the standards set forth, herein, as set by the Wisconsin UNR.
Certification stating that your soptiabae boon maintained must be oo d and turned to the St, Croix
County Zoning Officer within 30 days of the throe year oxpirati
SIGNED.,
DATE:
Sit. Croix County Zoning Office
Oawrruateat center
Ile1 Cettnichoet Road
Hudson) W1 34016 1 t M
c - too
by the
This application form is to be completed in full and si ao swill
owner(s) of the property being developed, Any inadequ
(spits
only result in delays of the permit Towner/CO•nLravto~U this
development be intended for resale by
house), then a second form should be retained and ooxyle' d when
the property is sold and submitted to this office Wirth the
appropriate dead reauraing.
owner ,,-~w'w_-..--r•.-..
Of property,,,, v\
LvGat3onofpropsrty 1/4 ~ 1/4, section,~?T N• 9 W
ailing addras6 D ~ rG'r'. ~ ~ ~=~-J
Township
hddrea s • Ito r
no. •
Subdivision naTA9 IAA
other homes on property? yea No
Previous owner of property
Total ai;e of property
Total seize of parcel
Dbto parcel was created iNo
Are all corners and lot lines identifiable? Yox No
Yea
Is this property being developed for (spec house)?
Volume and Page Number as recorded with the Register
of Do*ds.
♦r-----
INCLUDE WITH THIS APPLICATION THE rOY.WW%Na:
A WARMNTY DEED which includes a DOCUMENT NUMBEp, VOLUME AND PAGE
NUMBED AND THE SEAT. Off' THE REGIST99 OF DEEDS. in addttion, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the
ertifisrl surveil tion
references to a Certified survey p, the shall also be required.
AROPBRTY Q=ZR CSRTIFICATtOh to the
I {t of my my(our) (our) that I (We) am (are)etheaowner( ) of the that all stateinents on this property described in this information form,
by virtµe of a
bls o
warranty dead recorded in the office of
anct he C*un s t(we)e tst a of
Deeds as Document No. otha system dz` X (we)
own the proposed site fqx the sowage dish y for the
obtained an casement, to run the above described property, ,
conatruc ion of said system, and t same ha* o na ulyo u6ante Non
the of of he County Registar h
3 gn tuts v pp cant co-Applicant
Date of Signature
Dato of Signature
Nu9s'os aco~
r e
DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-1982 T/..e VACS RreaRVND FOR *%COMING DATA
WARRANTY DEED f rC;~ _
5Te CRO1X C " 1
+ - VOL PAU
Reed for Ra,:,;. j
This Deed made between
Numbi.rii..l,an~..~orporationr...a.Mi.nneaQta.:Cs7rpnrstion,....... MAY 10 1995
j
.................................................~.e..................................... Grantor.
~ohn..3.,..Moa~e.sail..Ar.11:ae..M....Monce..-huakand..and.......... F
and....
10:15 A. I
wife,,..... Sutxivorlahig..MaxLtal...Prope=ty
o p,,,t,~~Yb
Of n85 L(8
Grantee, Fle&+or
Witnessethe That the said Grantor, for a valuable consideration......
- -
conveys to Grantee the following described real estate in -St.e...C.k.21A.............
County, State of Wisconsin:
eow
Tax Parest No:
Lot 48, Humbird Hills Third Addition, Town of Hudson, St. Croix
County, Wisconsin.
r~
This i.$..DQ.tr........... homestead property.
X6110 (is not)
Together with all and singular the hereditar7rits and appurtenances thereunto belonging;
And
warrants that the title Is geed, indefeasible in fee simple and free and clear of encumbrances except
Easements, restrictions and rights-of-way of record, if any. ,
and wilt warrant and defend the same.
Dated this .......5th der of M X 1995.....
Humbird Land Corporation
Is -c
.....................................................................(SEAL) By.;.... .g.~... etP~7L....... (SEAL)
Austin J. Baillon, Its President
....................................................................(SEAL) (SEAL)
• •
AUTURNTICATION ACKNOWLEDGMENT
Signatnre(s) STATE OF )1"910=11
MINNESOTA es
Ramse
...........-Y ........................County.
authenticated this ........day OIL 19...... Personally came before me this .5th........ day of
.......M.4y 105.... the above named
Austin J Baillon F~resi,dent..Qt..............
• Humbird_,Land....... ati,on.............................
TITLE: MEMBER STATE BAR OF WISCONSIN
(If noR L.............
aethori:ed ~y 706.9!, Wis Stab) to me known to be the person who executed the
foregoing Instrument and acknowledge the same.
• • THIS INSTRUMENT WAS ORAITED BY PEA Q,/~
Hum~zid..!r A.,C,,grporation
fk.t~ftth
I. Notary Public kV It County. W46041,
(Signatures may be authenticated or acknowledged. Both My Commission Is permanent.(If no I tapn
are not necessary.) date: ;T N, )
•Neoer of orre ft 61"ing In ssr npeenr aAo.uld be typed or printed below tMlr elg..mrw.
'`+try WASHINGTON COUNTY
WARRANTT DaRD STATS BAR Or WIRCONBIN myComarl~Itp1TOL411f9131t
rORM Nee 1-Iyee
k'.