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Parcel 004-1048-20-100 06/25/2007 10:21 AM
PAGE 1 OF 1
Alt. Parcel 21.28.15.323B-10 004 - TOWN OF CADY
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 - LUTHERAN CHURCH / WILSON, CHRIST THE KING
CHRIST THE KING LUTHERAN CHURCH / WILSON
2997 30TH AVE
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 2997 30TH AVE
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 5.096 Plat: 4010-CSM 14/4010
SEC 21 T28N R15W PT NE NE BEING CSM Block/Condo Bldg: LOT 1
14/4010 LOT 1 5.096AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
21-28N-15W NE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
06/02/2006
06/10/2002 681339 1907/475 EZ-U
01/02/2001 636156 1571/570 WD
03/31 /1999 600380 1415/041 QC
more...
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/30/2001
Description Class Acres Land Improve Total State Reason
OTHER X4 5.096 0 0 0 NO
Totals for 2007:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 0 0 0
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
6/, ~2' ~ k,l-) ~~'v~~ a
,a S~ QCs ^ ,p r:JC1 9rin¢ l'at!cv /r ,
NfIE G; PuS °L`l~4 r~ sr~ V1 Paso Rock V
//V'~
ni t d
io SL t Ciiunt~
LOCATION cc ,r
~ CA street or hl~}ILT%y city or to;nrtahip county
LEGAL ]DESCRIPTION A c
l ~l ,T ~ if~ l i „ ~ L 11,._._A (.`4. I"4 / / C~ . t i f !V ~ / l r
Mailing address
_ ZIP '
71
AXHITECT OR ENGINE ErI t' f ✓ % %I / - Addross
IY S Y 7 C
PLIfrOER Address
1. Check appropriate building usage(s) end fill in the infor.;.tion requested opposite each usage listed:
Existing building C" f N6w building; Addition
If addition to existing buildinS attach detailed memo for each,
( ) Drive in restaurant . . • Car sps.ces
( ) Restaurant . a . . • • • • • Seating oapaoity 10 sq. ft./person) _
( ) Dining hall . . . . . . . . . Per meal served _ Toilet waste Yes No
( ) Motel ( ) Hotcl ( ) Cottage3 • Number of units= 2 porsons/unit - 4 persons unit
TOTAI. NUMBER OF UNITS
).Churches . Number of persons Kitchen Yes No
' Bar or ooektail lounge . . . . Seating, capacity (10 aq. ft./person)
( ) Nursing or rest home . . Number of beds _
( ) Mobile home park . . . . . . . Number of units - dependent (camper trailer)
„A - nondependent (mobile home)
( ) Retail store • . . . . Number of employees Number of customers (10 sq. ft./person)
t ( ) Service station . . . . . . . . Number of oars served daily)
{ ) School Number of classrooms Meals served Yes No
r\. Showers provided Yes No
Facto or office building tvlLmber of persona (total all shiftz~_
> ( ) Residenoa . Number of bedroorars ~L7/ S~~ f1 T SE/,"'cc
' Y ( ) Apartments . . . . . . . . . . Number of bedrooms
( ) Other . . . . . . . Spaoify
2. Indicate whether or not the following facilities are oon ectedt Food waste grinder . . . . . Yes No J
Dishwasher . . . . . . . Yes No
Automatic clothes washer Yes No Y
3. Fill in the appropriate information for the following as indicated:
Septic tank oapscity planned TOTAL Septic tank capacity required ~C'✓°> c^:;.rl s~>2 c"~~'/
3 a a t g y .r ,a , a }
Percolation test results - ATTACH PEFCOL ATION TEST R PORT SHEET A
Seepage trench bottom area planned width linear fast depth
Seepage bed area planned, width linear feet depth
Seepage pit planned outside diameter depth below inlet depth
Seepage Eenoh bottom area required G width linear feet depth ~
Seepage bed arts. required width -C: linear feet depth P A.
Seepage pit required outside~lamoter depth belorn inlet
S at=rre,of person conpletingq for;ot STATE DIVISION OF HEALTH, PLUMBING S2CTI0N
P. 0. Rox 309, Mad-son, Wisconsin 53701
Approved:
ZIP
Data t
C=ats: stn 17. '~1 -
THIS APPROVAL IS BASED ON STATE PLUMBING
CODE R3'QUIn i-r;TS DQND DOES NOT EXE :PT THE
INSTALLATION FROM CITY VILLAGE, TO"-
SHIP OR COUNTY iEGULATIONS OR PEit'iIT
(OVER) REQU I FEIIE:N t S .