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HomeMy WebLinkAbout038-1114-40-100 n ca 0 3-0 n d r~ o d d, c d o ~%1 .7 ~ ~ c r• 0 `C • cf) 0 w cn Z ° N 0 0 co w n o> O m O o oo j N o j W 0-4 v~ m 3 3 m cfo - 0 J o Z n C.0 c cp o ? d. co O ^ D cn 4, O Q n ? o o o m D ? m o ~ 3 ~ N a ~ o °o p O d CO p CO v cn~D a of m n cp (D C. Z 7 cn W CD to 3 0_ 0 CD ? cy. p. O N N CD N lei F orca CD C) CD v cn o m ~y,~ • a ch fA co oo m C o W M 0 O CD L u. CD ' C c CT 3 N C:, 0 N Q N N Z -T ° z co z o D a o Z Cl) c c m N w a Q 3 5 Z (D m 1 N O O O A Z n V) c A Z O v a O o' c (¢p ~ N W < i CO CL z 0 A ~1 O " Z B m OD N Z C A W a~ D =r a C O CD d G chi v c ~ C) (n °oa o v d ~a 0 CD m xg N cn z w A ~ A om a -3 a x w m t-j aC o N A b v N ~ hq Oo ~ O ~ O N C) CD Parcel 038-1114-40-100 04/08/2005 12:04 PM PAGE 1 OF 1 Alt. Parcel 29.31.18.485A-10 038 - 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 MOULTON, RICHARD & RAMONA RICHARD & RAMONA MOULTON 1970 NIGHTHAWK DR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1970 NIGHTHAWK DR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 27.690 Plat: N/A-NOT AVAILABLE SEC 29 T31 N R1 8W SW NE EXC N 1 RD & EXC Block/Condo Bldg: COM 16 1/2 FT S OF NE COR, S 656.6 F N 26 DEG W 169.4 FT, N PAR E LN 500 FT, E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) PAR N LN 74.25 FT TO POB EXC PT S OF 29-31 N-1 8W APPLE RIVER EXC PT TO PAR DESC 1113/567 EXC PT TO CSM 10/2954 EXC AS DESC more... Notes: Parcel History: Date Doc # Vol/Page Type 09/17/2001 656685 1719/330 QC 07/23/1997 1113/567 QC 07/23/1997 950/75 2004 SUMMARY Bill Fair Market Value: Assessed with: 30563 448,000 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 89,700 261,400 351,100 NO PRODUCTIVE FORST LANC G6 26.690 116,700 0 116,700 NO Totals for 2004: General Property 27.690 206,400 261,400 467,800 Woodland 0.000 0 0 Totals for 2003: General Property 27.690 79,500 188,900 268,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 304 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i, STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER G~%'~ ADDRESS l7 Z -~.5- r~ ~t. ,j SUBDIVISION / CSM# LOT # SECTION'4-T N-R ,1W Town of ~cr p ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WIT N 100 FEET OF SYSTEM f ~D ~ 1 l ~ AID ~,ll 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: 0~/r~ if SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: /~~c-G7rj Liquid Capacity: Setback from: Well e ~O/ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: -)elp- / Length L~ P Number of trenches p~ Distance & Direction to nearest prop. line: "E Setback from: well: /~G/ House Other /Lr T ELEVATIONS Building Sewer - ST Inlet.; V 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 L0 MXl;., t*rfI Rrs§~rie.29.3 11~ ►fiE W ~E Mft Hawk Dr' ounty: c Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: S lev': nsp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9400080 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~QQQ Benchmark S, v3 lOS~3 Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic la f NA Dt Bottom Dosing NA Header / Man. /a SJ~ Aeration NA Dist. Pipe 17 Holding Bot. System 9 /7 yy PUMP/ SIPHON INFORMATION Final Grade /Q/. (o/ Manufacturer Demand 72 1,V2 2 f. Model Number GPM TDH Lift Friction System TDH Ft Loss Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ngth No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1~ Le :S DIMENSIONS SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number: System: US (o d lark 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: Star Prairie.29.31.18W, SW, NE, Night Hawk Drive Plan revision required? ❑ Yes ❑ No Use other side for additional information. 7 T SBD-6710 (R 05/91) Date Inspector's Signature Cert No. l ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION .D1LHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~wmtns 47 STATE SXNITAR~ PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ow qS$ 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY R PROPERTY LOCATION 6 OrJ ~/a '/a, S T , N,,R E (o PROPE/RTYY OWNER'S MAILING AD ESS LOT # BLOCK # - / < CI , STATE ZIP ODE PHONE NUMBER / SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY~ N REST ROAD State Owned VILLAGE ; /ur Z/-4 ❑ Public Eg1 or 2 Fam. Dwelling-# of bedrooms -.3- PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/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 in line A. Check line B if applicable) A) 1. V New 2. ❑ Replacement 3.E] Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 RSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE • ELEVATION j O REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) f ELEVATION li !9 //.S Feet 00. Feet VII. TANK CAPACITY Site in alIons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Hoidin Tank L5- :F7 J I R I F] r-1 ift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb 's Name (Print): Plumber's 'nature: (No Stamps) MP/MPRSW No.: Business Phone Number: 5 57 ~ ~ 761r s"d~~ r Plu is Addr9ss (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanita Permit Fee (includes Groundwater a is us Issuing Agent Signs ps) I ,Archaige Fee) 2_^ ~Opproved ❑ Owner Given Initial VV~yt? L Advers 17- X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS M~ 1. A sanitary permit is valid for two (2) years, 2. Your sanitary permit may be renewed before the expiration date, and at the time of :renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to "his permit must be approved by the permit issuing authoria. 4. Changes in ownership or plumber requires a Sanitary Permif Transfer/Rerwwal Fcr`rt (SBi'-, 6399) to be submitted to the county prior to installation. , 5. Onsite sew11 le ;systems must be properly maintained. The --optic tank(s) mm-.5t be p u: , Jc ' y a licensed ' pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local cc-de dot irlistrator or the State of Wisconsin, Safety & 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 thelegal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and oomplete of bedrooms if 1 or 2 F:'mily Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete 'ine B if permit is for tank replacement, i econnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorpticn system information. Provide all information requester? in #1 7. V: 1. Tank information. Fill in the capai,ity of eve=ry new and/or existin„ t~:,nk, st the Iota' - =.arn`~er of tanks and manufacturer's narrie. 1,~dicate prefab or site construc',ed and tank mater ir..I e for all septic, pump/siphon and holding tanks for this system. Check experirilu! tal approval r r., ;;inks received experimental product approval from DILF:R Vlli. Responsibility statement. lnstallinrj piur?-t er is to fill in name, license n,,-fn-)e- with rir,4ix (e.g. MP, etc.), address and phone number. Plumber must sign application f;-nn. IX. County/Department Use Only. X. County/Department Use Only. Completc plans and specifications not smaller than 31z x 11 inches r-;, f b£- subm;tt.~; !r: t;n,. ,:aunty- The plans mcst include the following: A) plot plan, rirawrl to scale or Nil rl=:'? dime :?tian of holding tank(s), septic tank(s) or other beatment tanks; building wa': r :te; service; streams Rnd lakes; pump or siphon tanks' distribution boxes; soi !w,;fer' < iH,. - rie'lt system areas; and the location of the building served; 3) horizontal and v ;rtic:a, lev tti^n r?f-rF. ~~-Jnts; C) complete specifications for pumps and controls; close volume; elevation d iferenc(-_:,. f icii-n loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soG :+'l.ac.;rli:ion 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 inciuded the creation of surcharges (fees) for a num')e>r r>'r regulates; pr cfices which can of='ct groundwater. i he monies cDll icted tt3rC i these su rcharges are r !,non tC' water contamination in~E?titi~efir'rs and establishnntrJ ;.~f standafds. SBD-6398 (R.11/88) PLOT PLAN PROJECT ADDRESS ~1/W_ 1/4/S~y/T~1 N/R TOWN COUNTY 5l`- Crd~X PRS' yron Bird Jr. 3318 DATE BEDROOM CLASS PERC CONVENT! AL K IN-GROUND PRESSURE CONVENTI10NAL LIFT_ MO ND_ HOLD G T 1K SEPTIC TANK SIZE LIFT 4NK SIZE DOSE TANK SIZE HOLDII`, TANK SIZE ABSORPTION AREA' _ PERC RATE , ;BED SIZE 1,2 ► Benchmark V.R.P. `Assume Elevation 100' Location of Benchmark * H. R. P. d~ T ED Borehole Q Well Scale Feet 0 Perc Hole System. Eleva +or l~7 5r Uent 12" ,rarlp 46 TYPAR COVERING 2" 12" 3' 4 6' O 3' 1 Sewer Rock 6 " 1.2' i e . 40 b - ~r 4 ^{\~\VJ ~y Y ST. CROIX COUNTY WISCONSIN - ZONING OFFICE w a x u p n r n - movied ST. CROIX COUNTY GOVERNMENT CENTER ~A,. M, 1101 Carmichael Road = Hudson, WI 54016-7710 (715) 386-4680 July 25, 1994 Hartman Homes P.O. Box 326 Somerset, Wisconsin 54025 ATTN: Becky RE: Septic Inspection for Richard Moulton Dear Becky: An inspection of the septic system for Richard Moulton's property was conducted on May 19, 1994. This property is located in the SW; of the NE-, of Section 29, T31N-R18W, Town of Star Prairie, 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. If you have any questions with regard to the above, please do not hesitate in contacting our office. Sincerely, Thomas C. Nelson zoning Administrator mz i ~I vvisconsin Department Industry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page-of Divisi6n,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 .5 t e- ro 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 PROPERTY OWNER: PROPERTY LOCATION G ~A/nkc'i 7 GOVT. LOTSG/ 1/4~ 1/4,Spq'7 N,R l E PROPERTY OWNER':S MAILING AQDR LOT # BLOCK # SUBD. NAME OR CSM # CI STA E r ZIP CODE PHONE NUMBER OCITY VILLAGE WNW NEAREST ROAD Gtr r.^~ r...l ( New Construction Use [ Residential / Number of bedrooms 3 ( )Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow2y"pd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required _j~ bed, ft2 trench, ft2 Maximum design loading rate -L-,7 bed, gpd/ft2=trench, 9Pd/112 Recommended infiltration surface elevation(s) _r7 5- It (as referred to site plan benchmark) Additional design / site considerations Parent material C" S Gf Flood plain elevation, if applicable It F S = Suitable for system CONVENTIONAL MOUND O U IN-GROUND ❑U ESSURE AT- S DE❑ U S ❑ SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem S o u r _q CIS ,a1 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Ground l eIVI 2/ elev. Depth to limiting factor Remarks: Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench k::.< ~ ~<z ~ ~l c/ Gov co 15- • G Ground elev, ft. Depth to limiting factor Remarks: Boring # Ground 9 elev. 10 Depth to limiting n factor - - Remarks: CST Name: Please Print Pho c Ds7 r C 6 g' 7 Address: 6~~ r s~-t t Gv / S~ o m Signature: Date: CST Number: PROPERTYOWNERZA~I/ vI-x /v11 SOIL DESCRIPTION REPORT Page_ef PARCEL I.D. #t Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trench a' L xvw~ G 2- e' VA - el Z Ground elev. Depth to limiting factor Remarks: Boring # / ] S:%V .::,:.ti:: !~G Ground elev. _ Depth to limiting fact Remarks: Boring # L k Ground elev. ft. Depth to limiting factor Remarks: 12 hi m rdL~ / Tom" o 3", Ite- 6dd~ ti V La o I STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St, Croix County Y OWNER/BUYER C Ae,,~ MAILING ADDRESS 6r1 7 q ?.,c~ PROPERTY ADDRESS (location of septic system) Please obtain from a Planning Dept. CITY/STATE Sa•rdr~~Sa I`" c.~ SAD Z S PROPERTY LOCATION S cJ 1/4, =1/4, Section _ T / N_R W TOWN OF _ S,'l~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP - , VOLUME _,~~PAGE_79LOT 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 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 the on-site wastewater disposal system is in proper operating condition and (2) after inspection that 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: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 J/ S T C - loo J 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 property ~cJ 1/4 " 1/4,Section T 3LN-R_L_7" W Township 46L"' Mailing address 93,-al 5i/ Address of site 5;7AC Subdivision name Lot no. Other homes on property? Yes &--~No Previous owner of property /19,~/-d,J Total size of property 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 No Volume 9513 and Page Number 7,5-" 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 offi e of the County Register of Deeds as Document No. / , 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 o of the County Register of Deeds as Document No. Signature of Applicant Co-Applicant Date of Signature Date of Signature DOCUNIENT No WARRANTY DEED THIS SPACE RESERVED OR RECORDING DATA 8321S STATE BAR OF WISCONSIN FORM 2-1982 VO 950PAGE REGISTER'S OFFICE Beatrice Moulton_ a/k/a Beatrice R. ST.CROIXCO.,WI Moulton, an unremarried widow 4 Redd for Record MAY 1 21992 convey s ,Ind "arrant.; to . Richard T. Moulton and _ 0 8.30 A. M Ramona M.. Moulton,.husband and.wife as survivorship marital. property Register of Deeds the fo!lowin- deserihcil real estate in St. Croix, _ _ Cnlrty, State of W'i;eonsin: All that part of SW 1/4 of NE 1/4 and SE 1/4 of Tax Parcel No: NW 114 of Section 29-31-18 lying Easterly and Northerly of the Apple River, EXCEPT Commencing at a point on the East line thereof 16 1/2 feet South of the Northeast corner of the SW 1/4 of the NE 1/4 of Section 29-31-18; thence South 656.6 feet; thence North 26D West 169.4 feet to a point; thence North on a line parallel to the East line of said tract 500 feet; thence East on a line parallel to the North line of said tract 74.25 feet to the place of beginning, including the island located within the limits of the Apple River. Also, All that part of the SE 1/4 of the NE 1/4 of Section 29-31-18 bounded and described as follows: Commencing at a point on the West line of said tract of land 673.1 feet South of the Northwest corner thereof; thence South 260 East 726.8 feet to a point; thence West on a line parallel to the South line of said tract 318.7 feet to a point on the West line of said tract; thence North 653.4 feet to the place of beginning. L- .:._:tPfl. is not i l't,,II r:I:• municipal and zoning ordinances, easements and restrictions of record. ~J Beatrice Moulton AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OFNFjCifFLORIDA• 1 X 7~1C7C 92 i Beatrice Moulton a/k/a Beatrice A. Moulton JFFICIAL SEAJ Judith A. Remington KAREN L. SMITN~ REMIN(~TON L~W OFFICEgg ' r COMMI{GION iXPI, New Richmon WI 54017 xx LEA os, rove a3J,18, ~8yti 1-3//t1 f 9 w ✓c c~~v~ yc Iv ll~D~ LxC, Go/`2 Ib L S of NU S 5-6 C., /'N 2G /~tE--cv q -tf l=r lv o - I VsC Aso ~ip~ c 7 S r I I~ `~2 Jb l C~ ~ l i S• 3 ~ ~q• 7 0°• L~ S. 0 L4 .~7