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{ 111111 ilNi lilll iNl4lilil IN {IIII{ 111111IIII ilil
* 1
nocumeNT No. STATE BAR OF WISCONSIN FORM 6 9 0 1 7 6 0 901760
SPECIAL WARRANTY DEED
BETH PABST
Aurora Loan Services, LLC, conveys and warrants to Andrew J. Hesselink, and REGISTER OF DEEDS
Elizabeth M. Deboer,
ST. CRDIX CO., WI
the following described real estate in ST CROIX County State of Wisconsin: RECEIVED FOR RECORD
Lot 24, Plat of Glen View, In the Town of Richmond, St. Croix County, 08/1 0/2009 1 1 : 00AM
Wisconsin. SPECIAL WARRANTY DEED
EXEMPT 11
REC FEE: 11.00
TRANS Fu- ,00
Address: 1463 92nd Street RETURN TO PAGES: 1
IVERBANK
PO BOX 188
OSCEOLA W164020
Tax Parcel No.: 026 - 1153 -24 -000
This is nor homestead property ( I
*Limited to Warranty: Grantor warrants the title to said property against the lawful claims of any and all persons claiming or
to claim the same or any part thereof by, through or under Grantor.
Grantor warrants that title to the Property is good, indefeasible in fee simple and free and clear of encumbrances arising by,
through or under, except as stated above (•) and except municipal and zoning ordinances and agreements entered under them,
recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants,
and further except the 2009 real estate taxes.
Dated this g day of c J ill `� 2009
n�i0 L
Au r ra L n S vices, LLC '.a
AUTHENTICATION ACKNOWLEDGMENT
Signatures authenticated this _ day of STATE OF CO V I
20_. �Q 1 } SS.
COUNTY OF
TITLE:
MEMBER STATE BAR OF WISCONSIN
(If not, real came before me this _q_ day of
authorized by § 706.06, Wis. Slats.) 1 1 2009, the above named
YYY)_p S , to me known to be
the person(s) who executed the foregoing instrument and
cknowled a the same.
THIS INSTRUMENT WAS DRAFTED BY
Deborah A. Blommer
t
(Signatures may be authenticated or acknowledged.
Both are not necessary.) Notary Public , State of aj
My Commission is permanent.
*Names of persons signing in any capacity should be typed or printed
Wow their signatures. ��,,���
(If not Fstate e xpirati �d,pAg a,Aomero
File No.: 83860
State of Colorado
My Commission EXpires Nov 0A, 2012
1 of 1
Wiscons n Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
SafBty and Building Division
INSPECTION REPORT Sanitary Permit No:
487952 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Family Home Builders, Inc. I Richmond, Town of 026- 1153 -24 -000
CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town /Range /Map No:
1� ( 6 - s ( 19.30.18.1162
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ,. Benchmark
D r C Pp 6
/0L ��iS Alt. BM �j go—L
Aeration Bldg. Sewer
Holding St/Ht Inlet
730 TO — 7
St/Ht Outlet
TANK SETBACK INFOR ON / is PQ 7 • s 5 / C a , y 5
TANK TO P/L W BLDG. Yent to Air In ROf Dt Inlet \
Septic 50 7 Sa' � Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe �
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade 5 • d `r 3
Manufacturer Demand St Cover
GPM Z
Model Number
TDH Lift ' Friction Loss System d Ft
Forcemain Length la. Dist. to well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width i Length i No. Of Trenches t� PIT DIMENSIONS No. OfPi s Inside D� Liquid Depth
DIMENSIONS 2 / - s Z ' r��,� L xJ % \—
SETBACK SYSTEM TO � P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: n �/ q'K 14 A UNIT Model Number: no hG
G ov%U e
DISTRIBUTION SYSTEM 1 7 , f- i = 3 �a J- al�
Header /Manif old Distribution x Hole Size x Hole Spacing Vent to Air ke
.41 Dis tribution
\ \ \ Z /I Fr d'
Length Dia � Length Dia Spacing z5
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only ( y
Depth Over / Depth Over xx Depth of xx Seeded/Sod,ed xx Mulched
Bed/Trench Center („ Bed/Trench Edges Topsoil Yes j No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Insp i n / /
Location: 1463 92nd Street �chmond, WI 54017 (N 1/2 NW 1/ a % 4 19 T30N R Z 8W) Glen View Lot 24 ` Parcel No: 19. 18.1162
�
1.) Alt BM Description = � G�. Y - ,,,/,5 0-\ --
2.) Bldg sewer length
- amount of cover = �9 O P✓t Cgp p (6 �/•�
revision Required? Yes No q j
+her side for additional information. I I `
Date Insep or's Si a e Cert. No.
`(R.3/97)
� % rvN
'�p�������� �
RECEIVED
RECEIVED
EIVEP,
OCT 1 7 200r"
}, < rr,rZ)I�INTY
ZONING OFFICE :ST. CROIX COUNTY
ST. CROIX COUNTY f !tl It F I E
..
ZONING OFFICE ".
Safety and Buildings Division County .r
201 W. Washington Ave., P.O. Box 7082 S / ,
Ivisconsin Madison, W 1 53707 — 7082 Sanitary Permit Number (to be filled in b Cy o.)
Department of Commerce (608) 261 -6546
Sanitary Permit Application State Plan LE). umer
i n accord with Comm 8321, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address (if diff rent than trailing address)
N•
I. Application Information — PI rint All Information J
Property Owner's Name Pa am�y I # t # Block #
l'7�l(c —
Property Owner's M011ing Address Property Location J �J )
S 7/ Lif I
City, State Zip Code Phone Number /ULl ��ti Section
pI rp- y ,5 y001 7/ Sc e 3 T Lo N. )8 circl
V ir o�V
IL Type of Building (check all that apply) � L� Z
1 or 2 Family Dwelling — Number of Bedrooms ubdivision Name CSM Number
❑ PubUclCommercial — Describe Use „ / �ira.t
0 State Owned — Describe Use 3 Oe;ty_ ee owttship o
III. Type of Permit: (Check onl one box on line A. Complete line B if plIcable) p ;�
t4 New System ❑ Replacement System 0 Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
B. 0 Permit Renewal ❑ Permit Revision ❑ Charge of ❑Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber
IV. Type of POWTS System: Check all that apply) -
Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil n. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter Leaching Chamber Lin ❑ G -Im ipe 1010lber (explain) /
V. Dispersal/Treat ment Area Information: /
Design Flow (gpd) Design Soil Application Rate(gpdsi) Dispersal Area Required (so Dispersal Area Pr posed (t) System Elevation r /� j f•So t �/YL4 I(Q�
VI. Tank Info Capacity in Total Number Manufacturer PkI Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks /nA
Septic or Holding Tank OA
Aerobic Treatment Unit �/G
Dosing chamber
VII. Responsibility Statement 1, the undersigned, assume res onslbllity for fpch4lation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plum Sign re MP PRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip )
�V
VIII. our )9De artment Use Onl
Approved 0 Disapproved Sanitary Permit Fee (includes Groundwater Datglyau Issuing Agent Si
grta (No S
Surc F (JU SYSTEM OWN R: D CJ 2� b
❑ Own er Given Reason for Denial
IX C ditions A(A-- 1ps dispersal cell must all be serviced / maintained
P I u! a ISn Sluawe bai oegle y
n l g p u u a t 2. All setback requirements must be maintained
!e u a q ! sn Ila I I as Rer applicable c e /ordi ances. �/�0 /�`
pue � .3 luanl l M !3 -�'r7
:aGNMO W91SA.
\� J`- I v
X
/ C2
:3 ,3-QA
Po
Q
/000 c�.�.�-
3y- q �/ 3L/ x 19.E = 6y�.
o l
Pte- sa
a = 93.6'
�01 75
�J
ic��fe. 3
G—
Sy y0, 7s'
f
fro- IV-r--
3, �' Na -
7'- = 9o. 75
r -�
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SY yv,7- -
Wisconsin Department of Commerce SO EVALUATION REPORT Page --Lof
Divisior -+ of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County C
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ` L i
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. _
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q _ D
Z
Please print all information. Re ewed by Date Q
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). tJ
Property Owner Propel Location
to / Govt. Lot MR 14 S T N R E (o OQ
Prope Owner's Mailing Address of Block # Subbd. Name or M#
e
City tate Zip Code Pj)oneNumber er ❑ City ❑ Village AT Barest Road
New Construction User Residential / Number of bedrooms 3 Code derived design flow rate ��^ GPD
❑ Replacement ❑ Public or commercial - Describe: — _._ —__. ------ - - - - -- -- --
Parent material " C4-" Flood Plain elevation if applicable / ft.
General recommendations:
and recommendations:
f 6$. ?��
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/ff
in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. •Eff#1 •Eff#2
0 -1 2-
8 • 1
®Boring # Boring
) 7
9 pit Ground surface Bleu. ft. Depth to limiting factor / L � in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
, 3 .2
rn
oL ?0
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L. and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 � -, 715- 246 -4516
Property Owner _ Parcel ID # Page of
F 7] 3 Ong # E] Boring r � Iz! 9 Pit Ground surface elev. ': �ft. Depth to limiting factor � in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
m (--,- s a 7
m
8
a Boring # ❑ Boring
❑ Pit Ground surface eiev. ft. Depth to limiting factor )n• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
a Ong # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor )n. Soil Applicafion Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPQPf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
Effluent #1 = BOD. > 30 < 220 rng/L. and TSS >30 < 150 mg/l_ ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mglL
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.
SBD4330 (8.6/00)
Soil Test Plot Plan
Project Name Lakes and Hill Development Shaun ' d
Address P.O. Box 10598
White Bear Lake Mn 55110 C3fM #226900
Lot 24 Subdivision Glen View Date 7/18/03
1/4 N W 1/4S 19 T 30 N /R W Township Richmond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post
System Elevation 91.5/90.5 *HRpSame as Benchmark
Alt. BM Top of Survey Iron @ 93.6 Scale is 1" = 40'
unless otherwise
495' Property Line noted
190' *
Please note: survey was not B -1 0' 5 M.a
completed at time of testing, B -2 M
setbacks from lot lines may 93
change. Installer must verify
all lot lines and setbacks 30'
before installation.
10% 45' 95'
Please Note: Tested area Slope B -3
may not be suitable for
desired building area.
Check system location
before excavating.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buyer
Mailing Address
Property Address
(Verification required from Planning & Zoning Department for new construction.)
j k 1 h Cit y /State A jG !J 'L, Ai Parcel Identification Number b
LEGAL DESCRIPTION t I b Z
Property Location 1 /4 , I /4 , Sec., T 3D N R 1 p , Town of
I
Subdivision Ui(.,244J , Lot # _!�Y_
Certified Survey Map # , Volume , Page #
Warranty Deed # _) o d 7 , Volume , Page # ��
Spec house es no Lot lines identifiable es no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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 system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & 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 Planning &
Zoning Department within 30 days of the three year expiration date.
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.
Number of bedrooms
/0//a' /
SIGNATURE O*APPLIC—ANTW _. _ DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner + +
cJm-Z ,ice Septic Tank Capacity / 66 g al ❑ NA
Permit #
2/ Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms 3 ❑ NA Effluent Filter Model 5d ❑ NA
Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA
Estimated flow (average) 00 g al/day Pump Tank Manufacturer ❑ NA
Design flow (peak), (Estimated x 1.5) 0 g al/day Pump Manufacturer ❑ NA
Soil Application Rate 1 7 gal/day/ft= Pump Model NA
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L Cl Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD.) 530 mg /L kln- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip - Line ❑ Other:
Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA
Other:
❑ NA Other:
❑ NA
'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) 13 NA
R ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third %) of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s)
j$ year(s) (Maximum 3 years) ❑ NA
Clean effluent filter At least once every: / ❑ month(s) ❑ NA
< a year(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) 13 NA
❑ ear(s)
Flush laterals and pressure test At least once every: ❑ month(s) 13 NA
❑ year(s) Other:
At least once every: 13 month(s) ❑ ear(s) 13 NA
Other:
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third %) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
11 other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
unit and any servicing at intervals of 512 months shall be oerformed by a certified P� �4f3S AAair�tair�er
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION Page 2 of 2 "
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the - dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and /or is ermanentl taken out of
P Y service the following steps shall be
g P taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS f ' and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant
replacement stem:
suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required q ed setbacks from existing and proposed structure, lot lines and wells. Failure to rote
ct the replacement r
P P t a ea will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
T
alua ' t
b �ea �Rt1( -(18 /7 ?$i2- N/�b✓ at'J 77ZClC n tank
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES
AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name rC*- <<� �C Name
Phone 7�5- �� yclS°'— Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name
15 t - C l 20AI
Phone Phone - 705 — 3& (o O
This document was drafted in compliance with chapter.Comm 83.22(2)1b)(1)(d) &If) and 83.5411), (2) & (3), Wisconsin Administrative Code.
1\
U. 2899 P 56y X06057
KATHLEEN H. WALSH
State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS
WARRANTY DEED ST. CROIX CO., WI
Document Number Document Name RECEIVED FOR RECORD
09/30/2005 10:30AN
WARRANTY DEED
EXEWT i
THIS DEED, made between Hillvale Development Limited Liability Partnerships
REC FEE: 11.00
( "Grantor," whether one or more), TRAYS FEE: 140.70
COPY FEE:
and Family Home Builders, Inc., _ CC FEE:
PAGES: 1
( "Grantee," whether one or more).
Recording Area
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address
interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is
needed, please attach addendum):
Lot 24, Plat of GlenView in the Town of Richmond,, St. Croix County, Wisconsin.
RVAT 2684278
026- 1153 -24-000
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated September 29, 2005
(SEAL) EAL)
* * it vale Development Limite Liability Partnership
(SEAL)�� (SEAL)
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
authenticated on STATE OF Wisconsin )
) ss.
NttliiHq.r1'i St. C l'O1X COUNTY )
* �� • .: ter '•.. , : -
TITLE: MEMBER STATE BAR OF Wl, �$TT A.9 ' • • ovally came before me on september 29, 2005
(if not, s� ? )- thaabove -named Hillvale Development Limited bili
authorized by Wis. Stat. § 706.0'6)k - *, Pt�kt` ershi
N . A '�. �G ,t�tr kn n be the person(s) who executed th regoing
THIS INSTRUMENT DRAFTED By. ,�' ' UBt m tan acknowledged the same.
OF y �, ' • , , , . , O�osttlt
Attorney Kristina Ogland a"1101 1SG ;
Hudson, WI 54016 * G oiffnie M. Gullixdon
Notary Public, State of Wisconsin
My Commission (is permanent) (expires: — — )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FOR ANY MODIFI
M. CATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003
• Type name below signatures. INFO -PROTM Legal Forms 800-655 -2021 www.infbprofbmv.s.com
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