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020-1353-34-000
/* Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM CountySt. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita4$01163o.: Personal information you provice may be used for secondary purposes [Privacy Law,JF.15.04 (1)(m)]. 3? 3 't 3 Pfen tdgi'et me: ❑ City ❑ VMjdsDnooiovinship State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel 0204 :353 -34 -000 1a).n (an.6 C SC-- g4 I C544J-4 e TANK INFORMATION ELEVATION DATA 3A.,- zg. c 1 .• a°5 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic l_,3Q.. ° I ZGa-D B nchgt rk ' • b ) CD. 0 r �It. BM Dosing i f-; . ( - 94.26 r Aeration Bldg. Sewer (>.zo °J S" -pt Holding ' St/ Ht Inlet (o. (, o q s 0 r TANK SETBACK INFORMATION St/ Ht Outlet (o - 5 - 9(E 8S' TANK TO P/ L WELL BLDG. VAirlentto ntake ROAD Dt Inlet Septic >50 I ) ) f .^ NA Dt Bottom . — ''--- _ Dosing ) NA Header / Man. Aeration NA Dist. Pipe "c (JA Holding Bot. System C WilitO PUMP / SIPHON INFORMATION Fig: Man :cturer a nd Model . m • - PM T Lift Friction S vesatedm TDH Ft ' Forcemain Length Dia. hif Dist. To SOIL ABSORPTION SYSTEM 8'W TRENC.0 Width Length No. Of Trenches PIT. No. Of Pits Inside Dia. Liquid Depth DIMENSIONS _ DIMENSIONS SYSTEM TO SETBACK P/ L BLDG WELL LAKE /STREAM LEACHING an faq� rer: INFORMATION S T 26 / OR UNIT CHAMBER w l ) • del Nu ber:u DISTRIBUTION SYSTEM (L40w. C V/ 4-`-'- Header L! / pi�a ..I. L Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length '"i Dia. -[ tt e�ngth Dia. Spacin .........=.... I r 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 Inspection #11 Yes / 0/No Inspemtteil #22 No / LCmOM MENTS: (Include code discrepancies, person resent, etc. ( / 2 h To/ -' Ft o t • Location: 667 Hillary Farm Road, Hudson, N l 54016 (NE 1/4 N - . • : • I - e • ' 134 Cottonwood Ridge -Lot 34_,. o � i f, . 1 1-Ii 4) �.S g4 1.) Alt BM Description = l 1 elc cam - "' - � 2.) Bldg sewer length = J tf 9 9 Y _ . / 4 B.‘ 6) - / 3 • a - amount of cover = >112, "50 Cove../-, gy., = '4- .b(- 8.3 CO t 9 3.36 3) L.>..4-- ? I 5�$ f ,4opA.S m*�w • ',� az ` L . S `k S. ( CN) = 1.3.s-0 Plan revisi required? ❑ Yes I _ Use other side for additional inform Ojo . 4 6 ( p I , . FIRM SBD -6710 (R.3/97) Date ,- spector's Signature Cert No . . - , , • „ . . 4 - 6 )i , • . ■-• • „ • • , , 7 N.1 --7)4 Sanitary Permit Application safety _ uil • ings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. , nsi ese inting PO Box 7302 Deportment of commerce P erson al See r info verside for you stntctions provide may for be comple used for seco ndary this application p urposes Madison, WI 53707.7342 [Privacy Law, s. 15.04(1 xm)] (Submit completed forth to county if not state owned.) Attach co • late plans (to the coon c • • only for tines stem n z _not less than 8-1/2 x 11 Inches in size. County --) a tuts , an PermitNumbsr • - -'t :• ��^ :'r i . on ', ' . J ,� 3 /P 3k' h ,p L A ileation Information - • lease Print all information . n _ Location: :ith oil / S ? ess 7 '' 4 � /4 ✓ � E $ I dck umber Al 6 - ; _ r "' P 0 o r "^"''cr ' s• `ame '. los IL Type o Bid , 117. ; (c i wit one) 'W 9 $ City / ' I or 2 Family Dwelling - No. of Bedrooms : O Ue,r S i 2e. e — . _ O Village 0 Public/Commercial (describe use) :_ of 0 State -Owned Nearest Road III. Type of rmit: (Check only one box on line A. Check box on line B if applicable) d2 i - 3 y_ 0 36 9, L � 2 o 3 Y A) 1 A. 2. Replacement 3. 0 Replacement of 4. 5. 6, 0 Addition to System System Tank Only Existing System 0 A Sanitary Permit was previously issued Permit Number I Date Issued IV. Type of POWT System: (Check all that apply) '•- •n- pressurised In- ground 0 Mound ' 0 Pressurized le- ground 0 Bolding ank 0 Sand FPa 0 D rip Line Wetland 0 At -grade 0 Aerobic Treatment Unit 0 Re 0 d i� V. Dispersal/Treatment Area Information: 1. Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Applleation j S. Percolatio « 6. System Blandon Final tirade U `� P ropose d S /y 2 ✓ Rate ( G a ls /d ( Min /in Nat U �v (� l f ch ?Y. 0/73 El evaeb VII. Tank Capacity in Total 4 of Manufacturer Prefab Site Steel Fiber - Pic -� Information Gallons Gallons Tanks Con- Con- gla9s New - Existing crate structed Tanks Tanks / lk C7 0 0 0 1 0 VIII. Responsibility Statement 1, the underai - • assume res.. 'b111 for installation of the POWTS s,,, n on the attached •land. um • s $nature nosttamps : /� T i' v • o. Hess one `um / s - ty, . , , p Code) 71 ill IX. id , °)Z ■ i __ / • , L ', l Conn /Department se only �• 0 Disapproved Sanitary Permit Pee (Includes Groundwater Date issued $ immure (No Approved d ❑ Iasu A t S stamps) Determination Sanitary ZS Q Q S� Z 1 / 4—�w. J ns / of A�roval /Reasons for Disapprove]: / r � '�" X. Conditions Aye 4 *e. iNSIf//U��fU /Ver 4 P ul- Y �' ✓qP /P S�fir d K v�,� er // �j Nc O� er�aX`.�c,S_ //f r' O ezo rk, 7 ! /ii wr i ,-.‘ e l /�f/. L. re Oh Area. ` 7 P` S), SBD -6398 (R. 07/00) A'L $ T PLAN PROJECT Pete Yaeaer AD 1 ' Ess N4765 Moss Rd. Iron Ridae Wi 53035 NE 1/4 NE 1 /4S 36 /T 29 , , 1 • W TOWN Hudson COUNTY ST. CROIX I 5/10/01 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN -GR Mill' . SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK IZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 # of chambers 30 BENCHMARK V.R.P. Top of Nail in Butternut Tree ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.0/93.8/93.6 Alt. BM Top of Nail in Oak Tree @ 98.1' Pro Town Road Vent A >12" i Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts 6' Long 16" Manual Version 2.0 34" Grade at System Elevation Pro 4 250' B -3 Bedroom House Vents il ,* B.M. ' ,1 5' .yam ' B - 1 2 • Vents r V 5 , 35 35' • B 1 c 5 8% I 3 -3 X 63' Cells with >3' spacing .-4 Slope 0 O 202' Property Line Wisconsin Department of Commerce b 12 # t ' � 4 4 1 ,U, ATION REPORT Page of Division of Safety and Buildings t 1 a� t -cco a it o5, 1411 dm. Code ► f _. County // r Attach complete site plan on paper not e • a � r �i s .n must �7- t r ar t� inc but ot limited to: vertical an. •`- • +o fp -: X14 ,;_ . and Parcel I.D. percent slope, scale or dimensions, n• • y � -n. `.«r , .. • •' ,. nearest road. �a� -H08-to Please prin ' ` - • • Reviewed by Date Personal information you provide may be used fo ' - Ac aw, s. 15.04 (1) (m)). Property Owner 9 '� Property Location I � ra 2 C / - Govt. Lot / ° / 1/4//t1/4 S 3, Te2f N R/I E (or /V Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# C/ t\) 'I'75 -oSs 5 1017z ®4, 9 n; City State Zip Code Phone Number O City ❑ Village Town Nearest Roa T0 n „ i WI 1 S 3()3�( ) , CGGI I New Construction Use:Z Residential / Number of bedrooms / Code derived design flow rate 4, ri GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material efi c..r.QX� Flood Plain elevation if applicable /V ))4 ft. General comments / and recommendations:4 >' �zj I_ j'.-' L� [€,(JC)it _ / / may©, 73J173 . Boring # ❑ Boring �j I gl Pit Ground surface elev. ��r / ft. Depth to limiting factor 7V in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 O - 7 . /0 /z. ,e.,o-1..e. .s/ �.�yr ,c--- e° .7" -- 2-- - s .., /-'/ / _ .S s y, " -'fig, - 4 0 2.E i j 13.(, *-,, 1 Boring # ❑ Boring cc /9 ' • ❑ Pit Ground surface elev. f ' / ft. Depth to limiting factor / (/ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -16 16 /. -R12 714 s1 gr r- 7 C s 1 3A. -- S •/-. r (9 - N107,-0 r1,- ,-...51-' S 63 /'22/ /1-J 7 / V) )9 , 7.-/, Z- ij 1 3-1 ' * Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD, < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) , / Signatu CST Number - i r� `l f0 ���1 Qi o. v t � 9 0 b Address ,, j Date Evaluation Conducted Telephone Number /ZJ2 /9 z w�l tom_ , Alec j i t ,r / � ' GO) -SY(VI 5 - / / - .a/ 2I J - 1, - rx /-Z SBD -8330 (R07 /00) Property Owner Parcel ID # Page of 3 Boring # t ❑ Boring C - Y� Pit Ground surface elev. F . 1$ ✓ ft. Depth to limiting factor J O in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 l o Y- /v?J2 ..ice --12.- s/ 0 2 /- C j --- a . 1' ' y✓ 3 ov-ike 2,(7i---/--- .s o..9„, ,,,) 71/ A4 A9 7 v ii 2- / a.t fi, o Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BO; > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Soil Test Plot Plan Project Name Pete Yaeger Shaun B ' ■ Address N4765 Moss Rd. A, ii Iron Ridge Wi 53035 CS I# ' .900 Lot 3 Subdivision Cottonwood Ridge Date 5 0/01 NE 1/4 NE 1/4S 36 T 29 N /R19 W Township Hudson ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Butternut Tree System Elevation 94.0/93.8/93.6 *HRP Same as Benchmark Alt. BM Top of Nail in Oak Tree @ 98.1' Pro Town Road A A 98' Pro 4 250' Bedroom B -3 House 4 * B. • 30' 1 ag 0 ' 97' ~ B -2 -� � 96' c 5 35' 35' ►LJ B -1 k 5' : \ ,5.°) v, 8% a Slope a 0 k 202' Property Line • i , Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance i s: #LHR-$aO9, Wis. Adm. Code r ' Attach complete site plan on paper not less than 8 1/2 x 11 inche5+n 3tze. Pin mtat `ti County include, but not limited to: vertical and horizontal reference po (B,M), direciipn8 ft r± 3 C ro 1 u percent slope, scale or dimensions, north arrow, and location And,distance to nearest r d. f I.D. # s fat ° , � , f APPLICANT INFORMATION - Please print all i farmation$, c,p(, , eviewed by Date Personal information you provide may be used for secondary purposes (Rua2cy La Y��fl( f}?(m)). I / R 1 7 1 1 1 Property Owner Prop l,of fiorY IChard -Vou4 ' i ,..;-/ -Ggv 40 ,,„ a 1/4 1/4,3 T Z ,N,R E (orT) I I Property Owner's Mailing Address rirMi Block# Subd. Name or CSM# 1353 Avsc u kee -Tr.. 3y CIA-1c.)nJood RIB City State Zip Code Phone Number ❑ City ❑ Village [P Town Nearest R o' 4ud son 1X11 15yoUP 1(1 t ) q -0131 - Hudson i C--y. 2d . N 'New Construction Use: g1 Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: GG Code derived daily flow b Ov gpd Recommended design loading rate , 7 bed, gpd /ft • d trench, gpd /ft Absorption area required R5 bed, ft 15X.3 trench, ft 2 Maximum design loading rate • 7 bed, gpd/ft • 0 trench, gpd /ft Recommended infiltration surface elevation(s) q Z •/0 ft (as referred to site plan benchmark) Additional design /site considerations 444.-4 , g7 . y0 Parent material QC \G..l OU+ A a 'r' Flood plain elevation, if applicable //'/ //) ft S = Suitable for system Conventional Mound In-Ground Pressure , It 5 AT-Grade System in Fill Holding Tank U = Unsuitable for system R S El J s ❑ u i� 5 ❑ U ❑ U ❑ s g-u ❑ S F'r SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench l I 01 lb yr 3/2 ---- Si 1 m m-cr cs 1 - Ll ; -5 2 % -39 1© yr 4 t /'f LS `` 0S3 MI C _ -1 . 3 +1 Ground 3 d Ip yr y 1(,) U rns SA ml LS .1 . elev. qi,. fatt. Depth to - ' limiting - factor - 109in. •• c2• ' Remarks: Boring # I 0 - I2 l0 yr 3/ — St \ Mg3 mA- CS 1P .4 .5 2 2 12 -1 leyr L I N — LS _ C ml cs - .1 ' ,, 5 Li -1210 10 yr LI (n — ms (DS3 m 1 C s - 1 ' . Ground elev. Vili2ft. Depth to , limiting factor 12.10 in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number ck S ( it 4 7 Sowve rse_ -- w/, ,s"5'az.5 7—/ 5 77 , 5.� . 0 4 k. • SOIL DESCRIPTION REPORT PROPERTY OWNER Page 2- of 5 PARCEL LD.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G PD /f t 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 1 v -$ IU 3/3 `x. I rrs9 rryCr C-5 CC t 5 121.) I0yr mS Ogg fni CS Ivy Ground elev. Nip ft. Depth to limiting factor IZO in. V k4 P Remarks: Boring # 1 1 D-Ib 13yr 313 1 m m -cY L5 1-C . � 5 L i 2 IC -lig Il >yr q /lo Th — t S (�� rot CS � Yt • �S Ground elev. gg4o ft. Depth to limiting ') Jk factor I I% in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ) U - ! Z 1C) yr 31 3 St. 1 mS5' 1 • L i ; ,F) 5 2 . 1 0 4 r 10 r Lilto ms Os3 ml c.S I v P 8' Ground elev. 9/ tie ft. Depth to limiting factor os in. Remarks: Boring # Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) s��-- c-o+ 3 y ( e Sect / ; $O , X (jw► l elt /0o. 114 6"00,4 C3/+a Z eku. 1000 $y�ilrnv► v. 9a • /V 1 7 1 0 tie^ • I y Bm r • • • . 0 a � 01.1 • gz ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � 4 Kftiti \ 'fke Mailing Address .J 41 (oS VVID5s lZ A.t0J RA n CP(E t.1) .X Property Address r i _ aI ( (Verification required from P1 • s epartment for new construction City /State f6.47 bLI1 Parcel Identification Number 626 - 116,3— 10 LEGAL DESCRIPTION Property Location I y- ` /,, N ' , Sec. , T a 9 N -R l g W, Town of 1U.44))1 Subdivision birrin 1.0 t) k (h if6 , Lot # 3Y . Certified Survey Map # , Volume , Page # Deed # 'T , Volume / � , Page # Warranty / Spec house ❑ yes Yfno Lot lines identifiable (yes ❑ no SYSTEM MAINTENANCE 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal systcm. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. l ,l' Q /di SIGNATURE PLI NT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE APPLttS.T DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a cony of the certified survey map if reference is made in the warranty deed Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent fitter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 — t(/ve. S S -' 7/ s s -- 71 g' 7 f `1.4 6 Shaun Bir #226900 5", — ol ide ,„/ /) STATE BAR OF WISCONSIN FORM 1 — 1982 164 3_ $94S WARRANTY DEED K61THLEEN H. WALEH I� Q REGISTER O DEEDS DOCUMENT NO. �'fll. 149 ? :4E 500 - ,.r :OXX CO., WI RECEIVED FOR RECORD This Deed, made between 02 -2'? -2000 8:45 Ali RICIIARD 0. STOUT and JANET P. CTOUT, iiARRAMTY DEED husband and wife, • EXEMPT # , Grantor, CERT COPY FEE: • and PRTFR f V AF1F112 and [NARY n YAEGER ', COPY FEE: TRANSFER FEE: 170.70 htt shand and wife, REC ?RDINO FEE: 10.00 PAGES: , Grantee, Witnesseth, That the said Grantor, for a valuable consideration • THIS SPACE RESERVED FOR RECORDING DATA conveys to Grantee the following described real estate in St rrni x County, State of Wisconsin: NAME AND RETURN ADDRESS Lot 34, Plat of Cottonwood Ridge, Town of Hudson, St. Croix County, Wisconsin. (i 020 - 1353 -34 -00 • PARCEL IDENTIFICATION NUMBER • This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Ri rharrd n Stnttt anrd Janet P Stout - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, rights — of — way and covenants of record, • and will warrant and defend the same. Dated this 25th day of February xN 2000 k�1 0 C (SEAL) (SEAL) • Richard O. Stout • Janet P, Stout (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT State of Wisconsin, Signature(s) ss. St. Croix C • authenticated this day of , 19� Personally came before me this 25th day of Fe bruary A.H2O0 ()the above named Richard O. Stout and JanetP. Stunt TITLE: MEMBER STATE BAR OF WISCONSIN NOTARY PUBLIC • (If not, � authorized by 8706.06, Wis. Stars.) to me known Is2tyB�LIITeeQrl9 the foregoing instrume. ildacia46040N4IPBAST THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1353 Awalukee Ti. • Hudson, WI. 54016 Notary 'ublic, 0A . County, Wis. (Signatures may be authenticated or acknowledged. Both are not My c. mission i� germ t e 1. (If not, state expi gate: necessary.) / 7 - Q/ ' 1/ ) • Names or perwons stgmng in any capacity should by typed or primed below their signatures. STATE BAR OF WISCONSIN Wisconsin LeaN Blahs Co.. Inc. WARRANTY USED Form No. 1 - 1982 Milwaukee, Wis. • i * ' , / � t f,r r 4 1 , • 7 . i a '� tp- 4_ i -.., ---- ..._, 4. ilr x \-- c . .,, i \ \ I 1 .1 ' . _ 9 .. f f`' ) , / / f , . S K- ik..----„ -7 NZ\ N —Riligi . : j_ . )" / ---!71:*4$ ' - \- y r - 4#--- ,,( t ms s *v�0... 1 > . `Il' 99, -.'\) v' '''' 9 94 - 9.8 Ad \ • 1 . 1 i . : 96.0 : 1 1 ♦ r 40 a • 1'!1 6♦ 10 , -,,,-.4) prorT - .- . ._ ... _ 1 L. q rr _ _/ _ "•. TOOL zsxoa IzassvHIIan Lb6Z 176Z 4TL XVd CC -60 NON TO /LO /2O • w w Q i r _ _ •".€92 3 „ r E,9 s.orN 3Nd 13SIf101 — • t i i i :: .. • § •••• cc � 'ozo eI ► i II •, .. W 1- J J 0 i • 1 t ' .... ' / I O � x / w I z a Owo ; •• ;')• W N I poi i ' / / / 5 8 ' cu col I Q 1 II: CO '') z ... ,L. lc D OH / c�CO X 11 W .. • to O Y j .,:._•, . •••' • 3 CI ...• I Lr N • _ o�? Q •/ : X°' . . •• � cj • I CI �t • = Z o ti -.,. .09'9 *£ 1 1 (b / ty O Ft -, Z I 4i / ,EZ'OSb — --- -- • - -• -- . - -'= 99 10 W /.--._....._..... • 203 I 1 Pt.& Zit / • � i ■ I h / 0 / 2 : cu I / '11 • CO r �� 1 it 03 N I � Cr; / • ° I • I • � N I A N • • 0 . op / ; -- ,SL'9IS P1 „ £ *,Oi.1►0S — _'__'__ -- - _ I \ Imo • ___ W A I ' L_�_' U) I N i v p M < °* , : .e. I • il hit I 4 1. , t CO •• criz'P5'2Z ,.A. -- ,_.._— • - -•- 1 id r p O n :1.4V