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Parcel 002-1023-40-100 03/29/2007 03:47 PM
PAGE 1 OF 1
Alt. Parcel 11.29.16.164A 002 - TOWN OF BALDWIN
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - CARLSON, EUGENE J & CORRINE M
EUGENE J & CORRINE M CARLSON
1036 260TH ST
WOODVILLE WI 54028-7003
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.680 Plat: N/A-NOT AVAILABLE
SEC 11 T29N R16W PT SE 1/4 AS DESCRIBED Block/Condo Bldg:
IN WD 1508/375
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-29N-16W SW
Notes: Parcel History:
Date Doc # Vol/Page Type
12/12/2002 702104 2079/58 AC
05/05/2000 622522 1508/375 WD
08/04/1998 584374 1345/510 MD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 25,100 137,700 162,800 NO
PRODUCTIVE FORST LANDS G6 38.680 131,500 0 131,500 NO
Totals for 2007:
General Property 40.680 156,600 137,700 294,300
Woodland 0.000 0 0
Totals for 2006:
General Property 40.680 156,600 137,700 294,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 548
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I, the undersigned, hereby certify that the percolation tests reported on this four were mide by me
or under by superrvision in accord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin Adrr,inistrative Code, and that the data recorded and location of test hales are correct to
the best of my knowledge and belief.
TITLE ( l`' L lC A i
('Type or Print)
REGISTRATION NO. _ or 1•1AS':ER PL' 0ER LICENSE No,
ADDRESS r CC I:1~ ~t 7 ~G
DATE
J" J SIGNATUtE
MASTER PL fiT3 R MAKING APPLICATION
1 MP~~/ -
Signature: License Number:
M.P RSW
(To be Completed by Issuing Agent)
Date of A location A
PP Fee Paid
P rmit Issued (date) - > y Permit Numbeer/
Agent (name) For:7 l~sl ~I.
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered
and tho fee paid, Agents will forward application, the fee of $10,00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be Trade
payable to the Division of Health.
Do not write in soaca below - FOR DEPART ENT USE ONLY
DATE RECEIVED I0 ACCEPTED BY RETUP_lED `
(Initials) (Date) (See Correes.)_
FEE RECEIVED VALID. NO. -2 % P£FVJT NO. Lr z
~JJr
(Yes or No)
REVI04ED BY APPROVED DAiE
(Initials) (Yes or No)
COr ENTS:
Parcel 002-1023-60-000 03/29/2007 03:50 PM
PAGE 1 OF 1
Alt. Parcel 11.29.16.166 002 - TOWN OF BALDWIN
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - MALCEIN, GLENN & JOAN
GLENN & JOAN MALCEIN C - PO BOX 162
PO BOX 162
1058 CTY RD D
WOODVILLE WI 54028
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description * 2566 CTY RD E
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 39.320 Plat: N/A-NOT AVAILABLE
SEC 11 T29N R1 6W SW SE EXC AS DESC IN Block/Condo Bldg:
WD-1508/375 NOT A COMPLETE DESCRIPTION
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-29N-16W SW SE
Notes: Parcel History:
Date Doc # Vol/Page Type
12/12/2002 702104 2079/58 AC
05/05/2000 622522 1508/375 WD
08/04/1998 584374 1345/510 MD
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/25/2006
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 32.320 3,600 0 3,600 NO
UNDEVELOPED G5 1.000 100 0 100 NO
OTHER G7 6.000 22,200 96,600 118,800 NO
Totals for 2007:
General Property 39.320 25,900 96,600 122,500
Woodland 0.000 0 0
Totals for 2006:
General Property 39.320 25,900 96,600 122,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
B A L D W I N T 2 9 N:-R. 16 W
D D SEE PAGE 47
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S£E PAGE 21
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