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Parcel 020-1051-20-000 10/04/2006 12:36 PM
PAGE 1 OF 1
Alt. Parcel M 20.29.19.193E1 020 - TOWN OF HUDSON
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 - WAXON, VERNON E & IRENE S TRUST
VERNON E & IRENE S TRUST WAXON
907 BENJAMIN LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * - Primary
~i
j i
Type Dist # Description " 428 JACOBS LN
SC 2611 HUDSON nh~
SP 1700 WITC G;,`Gc
C L t - yI
Legal Description: Acres: 2.520 Plat: N/A-NOT AVAILABLE
SEC 20 T29N R19W SE SW LOT 1 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III_PAQ -6 ORD (HISTORIES
82872i~~- 8x7%466 841/407 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
20-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/08/2001 644903 1634/512 WD
07/23/1997 1052/402 WD
07/23/1997 1032/155
07/23/1997 1032/154 TD
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.520 72,100 172,800 244,900 NO
Totals for 2006:
General Property 2.520 72,100 172,800 244,900
Woodland 0.000 0 0
Totals for 2005:
General Property 2.520 72,100 172,800 244,900
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
I
Plb. #67 10/69 Wisconsin Department of Health and Social Services
Division of Health
PER-UT APPLICATION
for
PRIVATE DOMESTIC SEWAGE SYSTEMS
A. 0JNER OF PROPE:YY TYPE OR USE BLACK INK
-Name " w Address (Street, City, Zip Code)
County
B. LOCATION OF PROPERTY WFi~:FL SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED f ,
Check One:
CITY VILLAGE LEGAL DESCRIPTION: /k/") S e:
TOWNSHIP 4.' %17' S~~L z~L'%/~
C. IS LOCAL PEFMIT REQUIRED FOR THIS WORK? /i YES NO rf / r PE[t1IT NLMFR
D. SEPTIC 'LANK CAPACITY Gallons NEW INSTALLATION t' REPLACEMENT ADDITION
MATERIALS: Prefab Concrete /Y Poured in Place Steel Other
NUM3ER OF TANKS TO BE I.'.ISTALLED f
E. TYPE OF OCCUPANCY
Check One: One or r_o
Family Residence X Commercial Industrial Other
\ (Specify)
Number of Persons to be Accommodated Number of Bedrooms ~;J
7-
F. APPLIANCES, ETC= Food Waste Grinder YES y NO Automatic Clothes Washer YES NO
Dis.'Taasher YES X NO Automatic Potato Peeler YES r NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ADDITION REPLACEMENT
Tile Size ii No.Lin.Feet Z! Trench Width Depth Number of Lines ~r
r
Seepage Beds Length Width Depth Tile Size No. Lines
Seepage Pits Inside diameter Liquid Depth
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches ,Minutes
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall
1st Wetted Overni ht in Minutes Last Periodl Last Perio Period r'ne Inch
Example
P- 0 36" To Soil 10" Clay 2611 ' 25 es or no 30 1/2 1/2 1/2 60 l
RECORD DATA FROM MINIMUM OF 3 TEST HOLES j
I
..apute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B 0 R I N G S- Minimum 36" Below Pro osed Absorption System
oring Total Depth Depth to Ground Mater Depth to Bedrock
umber Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches j
xample
- 0 721' 72" i Blaok To Snil 12" Cla 18"• Sand 1811• Gravel 24"
RECORD DATA FROM MINIMUM OF 3 BORE HOLES
COMPLETE" THER SIDE
I, tt-,e undersigned, hereby certify that the percolation tests reported on this form were made by me
or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3),
WisoonsLn Administrative Code, and that the data recorded and location of test Yoles are correct to
the best of cry knowledge and belief.
NAcE TITLE f
(Type or Print) J r
REGISTRATION NO. or MASTER PLUT3 ER LICENSE No.
ADDRESS
DATE / C. Zz SIGNATURE
MASTER PLtM3~;R KAKING APPLICATION
Signature: Y zN License Number:
MP RSW
(To be Coomm leted by Issuing Agent)
Date of Application p", /f C Fee Paid $ f r
Permit Issued (date) Permit Number
Agent (name) For: \ 1 ft f 71 Town, Village, City, County, etc.
( (Specify)
Note: The applicat on cannot be considered for filing until all of the above questions are answered
and the 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 made
payable to the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
DATE RECEIVED ACCEPTED BY - - RFTURNED
(Initials) (Date) See Corres.)
FEE RECEIVED VALID. NO.
~ PERMIT NO. (Yes or No)
REVIEWED BY APPROVED DATE
(Initials) (Yes or No)
COMMENTS:
V
Parcel 236-1653-02-000 09/27/2006 10:04 AM
PAGE 1 OF 1
Alt. Parcel 236 - CITY OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
i~ O - KRIER REV TR, LAWRENCE M
LAWRENCE M KRIER REV TR!
635B 13TH ST S
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 623 13TH ST S
SC 2611 HUDSON
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
C~ f
Notes: Parcel History: -7 0
Date Do # V~e / I
-7 -V
- mot,,-
2006 SUMMARY Bill Fair Market Value: Assessed with:
0 Gt-rl
Valuations: Last Changed: 09/20/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 29,400 127,600 157,000 NO 00
Totals for 2006:
General Property 0.000 29,400 127,600 157,000
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 29,400 129,900 159,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00