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010-839-01-5101-RZN-2004-013 �. �� Town of Hayward , a� County of Sawyer , /O \/ August 11, 2004 SUBJECT: Change of Zone District Application TO: Sawyer County Zoning Administration P.O. Box 676 Hayward, Wisconsin 54843-0676 Owner: Dan Welytok Address: 8712 N. Spruce Road, River Hills WI 53217 Property Description: Lot 4 of unrecorded survey, 250'x991', being Part of Govt Lot 1, S 1, T 39N, R 8W, Part of Parcel :1.1. Volume & Page Number of Deed: Document#323716 Acreage and Lot Size: 7.27 acres Change from District.: Forestry One (F-1) to District: Residential/Recreational One (RR-1) Purpose of request: To conform with surrounding zoning and for the possible construction of more than one residential structure. By Action of the Town Board, use is (�pproved ( ) Tabled ( ) Denied Public Hearing: 17 September 2004 9:00 A.M. ;Je . . Homuth, Chairtnan Gary Gedart, Supervisor �� Harol i fany, Supervisor y . � f � � .. . i d Dear Members of the Town Board: Your Town Board decision is an integral part of the decision making process for the Sawyer County Zoning Committee. The Zoning Committee would like your cooperation in stating the reasons or comments why you approved, denied, or tabled the request. Re: Dan Welytok 1 -39-8 Part of : 1 . 1 �....a nJJ u��S (�E�L�/ P�U.F.f; . �" oF� �2� �i" � �F R:EAS�:I �02 F l 1 �u. S � Qkov��, ,.� � �/toP=2�7��s �4rr� lZ�s, �G r'/'r�-t� Dated this �� of u; , 20 1.�� , � . �� -�17 e�� odi Longtine, Clerk Oftice of Sawyer County Zoning Administration P. O. Box 676 Hayward, Wisconsin 54843 (715)634-8288 FAX (715)638-3277 www.sawyercountygov.org E-mail: zonin�.secrri-sativvercountv o� c��or� Toll Free Courthouse/Gencral Information 1 -877-699-4110 October 22, 2004 Dan Welytok 8712 N. Spruce Road River Hills WI 53217 Dear Mr. Welytok: On October 21 , 2004, the Sawyer County Board of Supervisors ratified the approval of the change in zone district of the following described real estate to wit: Lot 4 of an unrecorded survey, being Part of Govt Lot 1 , S 1 , T 39N, R 8W, Part of Parcel : 1 . 1 . Document #313716. 7.27 acres. Change from District Forestry One (F- 1) to District ResidentiaURecreational One (RR- 1 ). Yours truly, Cindy K. Yackley Deputy Zoning Administrator CKY:kt Oftice of Sawyer County Zoning Administration P.O.Box 676 Hayward,Wisconsin 54843 (715)634-8288 September 22,2004 Dan Welytok 8712 N.Spruce Road River Hills WI 53217 Dear Mr.Welytok, On September 17, 2004, the Sawyer County Zoning Committee approved your application for change of zone district on the following described real estate to wit: Lot 4 of an unrecorded survey,being Part of Govt Lot 1,S 1,T 39N,R 8W,Part of Parcel:11.Document#323716.7.27 acres.Change from Dish-ict Forestry One to District Residential/Recreational One. Purpose of request is to conform with surrounding zoning and for the possible construction of more than one residential dwelling.The Town Board has approved. The Sawyer County Zoning Committee approved the application as submitted. Findings of Pact of the Zoning Committee:Tt would be compatible with the surrounding uses and the area.It would not be damaging to the rights of others or property values. The Sawyer County Board of Supervisors must ratify the approval of the change in zone district before it becomes final. This will be scheduled for the County Board meeting on October 21, 2004, 7:00 P.M., in the Circuit Courtroom of the Sawyer County Courthouse. This decision is a recommendation to the County Board of Supervisors. Any person or persons jointly aggrieved by the decision of the County Board may commence an action with the Sawyer County Board of Appeals to review the decision in whole or in part, within thirty(30)days afrer the filing of the decision in the office of the Committee. Yours truly, Cindy K.Yackley Deputy Zoning Administrator CKY:kt Otiice of Sawyer County Zoning Administration P.O.6ox G76 Hayward, Wisconsin 54843 (715)634-8288 September 22, 2004 To: Town Clerk—Hayward Re: Rezone Application Notice is hereby given that on September 17, 2004, the Sawyer County Zoning Committee approved the following application: Dan Welytok. Lot 4 of an unrecorded survey, being Part of Govt Lot 1, S 1, T 39N, R 8W, Part of Parcel :1.1. Document #323716. 7.27 acres. Change from District Forestry One to District Residential/Recreational One. Purpose of request is to conform with sunounding zoning and for the possible construction of more than one residential dwelling. The Town Board has approved. The Sawyer County Zoning Committee approved the application as submitted. Findings of Fact of the Zoning Committee: It would be compatible with the sunounding uses and the area. It would not be damaging to the rights of others or property values. The Sawyer County Board of Supervisors must ratify the approval of the change in zone district before it becomes final. This will be scheduled for the County Board meeting on October 21, 2004, 7:00 P.M., in the Circuit Courtroom of the Sawyer County Courthouse. This decision is a recommendation to the County Board of Supervisors. Any person or persons joinfly aggrieved by the decision of the County Board may commence an action with the Sawyer County Board of Appeals to review the decision in whole or in part, within thirty (30) days after the filing of the decision in the office of the Committee. Yours truly, Cindy K. Yackley Deputy Zoning Administrator CKY:kt Enc. � � � . Town of Hayward County of Sawyer August 3, 2004 Date SUBJECT: Change of Zone District Application . f r._.__� _ _ __ _ .. . .:-.,----. .._.... TO: Sawyer County Zomng Administration ,� � �.;�� .�,, ' PO Box 676 ;:: ��— Hayward, Wisconsin 54843 �'�� t �� ; AUG 0 3 2004 � ' Owner: Dan Welytok � �, 1 "t T , � �f' �'rt� , `�(��{ �` ?�DG ��;:-;a�_�?1� Address: 8712 N. Spruce Road, River Hills WI 53217 Phone: 414/352-5854 Property description: Lt. 4 of unrecorded survey, containing 250'x991 ', being Part of Govt Lot l, S 1 , T 39N, R 8W, Part of Parcel : l . l, #010-839-01-5101 Vol & pg no of deed & survey: formerly M27/248� � 3� 37 �� Acreage and lot size: 7.27 Change from Dist: Forestry One (F-1) to Dist: Residential/Recreational One (RR-1) Purpose of request: To conform with surrounding zoning and for the possible construction of more than one residential structure. PH : 17 Sep 2004 9 : 00 AM Date of Public Hearing: Name, address, & phone of agent: Signature of property owner required. The above hereby make applicarion for a rezone. The above certify that the listed information and intentions are true and correct. The above person/s hereby give permission for access to the property for onsite inspections. r - oi i . '� �r,��, �/ 8 9• z s'os!� ,��J ,� � I l - /L So- �,ti9��! ,��-<� � oo� —_ .R �- N � 50 �' ° 39o'O �K z _ . N � 3�`oo' 1 � � � ! 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Spruce Road River Hills WI 53217 Parcel Number Owner Vol/Pg Deed Town of Hayward, S 1, T 39N, R 8W Prt :1.1 Tribal Land 97/275 13394W Trepania Road Hayward WI 54843 .5.1 LCO IBID Town of Hayward, S 36, T 40N, R 8W .12.1, :4.1 Tribal Land IBID Chief Lake Acres Lots 6 & 7 Tribal Land IBID REFERRAL OF APPLICATION FOR CHANGE IN ZONE DISTRICT TO ZONING COMMITTEE Owner(s): Daniel S. Welytok Town of: Hayward Change from District F-1 to District �-1 Whereas, an application for a change in zone district has been filed with the Sawyer County Zoning Administration on 5 August 2004 Said application is hereby referred to the Sawyer County Zoning Committee, which is hereby directed to hold one or more Public Hearings on the changes proposed in said application,pursuant to Section 59.97 (5) (e), Wisconsin Statutes. Dated this lOth day of August , 2004 IGL,c:a. Kris Mayberry, County Clerk Julie A. Hofer, Deputy County Clerk Sandy Hebbe, Deputy County Clerk Office of Sawyer County Zoning Administration P.o.Box 676 Hayward, Wisconsin 54843 (715)634-8288 August 11, 2004 Dan Welytok 8712 N. Spruce Road River Hills WI 53217 Re: Lot 4 of unrecorded survey, 250'x991', being Part of Govt Lot 1, S 1, T 39N, R 8W, Part of Parcel :1.1 Dear Mr. Welytok: Your application for a Change in Zone District will be considered at a Public Hearing before the Sawyer County Zoning Committee on September 17, 2004 This Hearing will begin at 9:00 A.M. in the Sawyer County Courthouse, 10610 Main Street, Hayward, Wisconsin. It is recommended that either you or a representative be present at the Hearing. A lack of information about the application may result in unnecessary delay of a decision. Failure to appear may also result in the denial of the application. If it is impossible for a representative be present, please submit a written statement in care of this office directed to James Bassett, Chairman of the Zoning Committee. This statement should include your proposed intentions, the purpose of the request, and a description of the general terrain and surrounding development. Photographs of the property and/or buildings would be beneficial. Indicate the undue hardship inflicted upon the owner by conforming to the present zone district and the compatibility of the proposed use with the surrounding land uses. Convenience and financial loss or gain do not constitute zoning hardship. Your application will come before the Town Board for their review. Please contact the Town Clerk, Jodi Longtine, PO Box 13260, Hayward WI 54843, 715/634-4123, to confirm the date and obtain the time of the Town Board meeting for your attendance or the attendance of your agent. PAUi�A CHISSER 5��Q T O R��tiZ��-T C..p Z Nb t (�} SA47YER COUNTY, WI � REGISTER OF DEEDS L(�-►J 1> Document Number � 3 2 3 716 O8/03/2U04 8:20 AM RECORDiDIG FEE 15.00 TRANSFER FEE 486.00 Pages 3 Recordit�Atna Name aud Retarn Address Q��J �E�yTofc 8�i a 1�oa.? r+ SPeu�� e oR Q m►�w Ru�.��. , w i S 3 a,-� , �o Q wQy�L N��mO�e . Parcd Ideatibcation Nmaber(PIIV) 'Itii�infocmation mua be completed by abmiaer:documrnt title,name�rearn addreu.and P1N({f requir�d). Orha�infornwaon such m rhe grandng clauiu,kgal dueripaon,erc.may be placsd on drL finr page of du docwntnt or nwy be pfaced on addirional pages of rhe docronent. Nou:U.rc of thLr cover page�dd:one pagt to your doctanent cnd j2.p0 to d�e ncordinr fet. Wircorvin Statuua,39.S17. R'RD,!2/SK - �ic Courte Ore�lles Reservauou � SS4d6 • , , Allotlee:Mishanue[ Sept 1956 Tract No.#431 6BA�6-D . �ictirn I3�.:431-10-OG571-0� UNITED STATES DEPARTMENT OF THE INTERIOR � 3'� 6 7'r 8 BUREAU OF INDIAN AFFAIRS DEED TO RFSTRICTED INDIAN LAND THIS INDENTURE,Made and entered into dus_� day of �µ (% T�ti-o tt�ousand four,by aiid be��vecn Dara Diamond a/l:/a llara McKecver,a sin�le woman. Enrollment\o.431U003329 of Gilbert.Arizona a Iac Courte Orcilles Chipnewa Indian,party of l}ic firsL part,and Dan�Veivtok,of Milwaukee,Wisconsin, p.u-ty of die second part: �'��I"I�Ni�.SSLTH,`Chat said parly of the firs[par�,lor and in consideration of lhe suin of nne hundred sixh�-t�vo thousand aiid no/100(�162,000.00) dollars in h.uld p<ud,thc reccipt of which is hereb}�acknowledged,docs hereby grant,bargain,sell,and com�ey unto said party of the second part the following-described real esGzte and premises situated in Saw er County, State of Wisconsin on the Lac Courte Oreilles Indian Reservation,lo K�t: All tliat part in azid to: Sublot 4 of Govemment Lot 1 of Section 1 in Township 39 North, Range 8 West,4`�P.M., Described as follows: Commencing at a pipe being the northeast Corner of Government Lot 1;thence N.89°25'W., 1,150 feet to the P.O.B.;thence N.89°25'W.,500 ft.;thence South 220 feet;thence East 200 ft.;thence So.991ft.to the South line of Govemment Lot 1, 250 ft.;thence No. 595 ft.;thence N.5°E.,614 ft.to the Point of Beginning,containing 7.27 acres,more or less,subject to all valid existing rights-of-way of record This conveyance is made pursuan�[o the pro�rision of the Act of May 14, 19-18(6`l Scat.,23f). togeQier�ti�it�i all improvements thereon and the appurtenances thereunto belonging. :�nd the said party of t�ie first part,for herself and hen c�irs,executors,and administra[ors,does hereby covenant,promise,and agree to and�vith the said party of the second pazt,its successors and assigns,dia[st�c will fore��er warrai�t and defend the said premises�ainst the claim oF all persons, claiming or to claim by,througli,or under tierselC only. To have and[o hold said described premises unto the said party of the second part, its successors, and assigls,forever. IN WITNL,SS WH�REOF,That said parry of tlie lirst par�has hereunto set her hand_and seal_ tlie day and year first-above written. WI �SSES: �. ��-�— a��.�,�,�—�-4 Is�.�.l - Dara Diarnond lSl:.'�L� j�-f2�'O E_ �/ /f�/1/S a/k/a D�ira McKee�•er (SEAL] ��-- '�'�'�" �c�Gl-Pr`� ISI:.�I.l � `- , 0 Acknowledgincnts must he accordancc with the fomis prescribed by die Stale in wlucti die 1<znd is si[uated. ° ' STATI:OP L�� Zcrn� COiiN'1'Y OF }ss: BL IT RE1�4F,Iv1BI:RE1�,That on tliis -�s�day of fJu�,A.D. 200 beforc thc undersigned,a Notary Public in and for tf�e County and Sli1te aforesaid,personally appeared_ llara Diamond a/k/a llara McKccver,a sin¢lc woman, lo�ne personally lcno�m to be t�ie identical person_ who executed the within instrument of writing,and such person_duly acknowledged t�ie execution of t�ie sa�ne. I?�TF.STIMONY�'�THI:REOP,I havc hercunto subscribed cny name and afT�ixed my scal on LFie day and year last hcreinabove ri�ri��cn. Notary Public My com�nission cxpires �a� -�� AARON ABBOTT L NI"1'ED S"1:�1`1'ES Notery PuDRc-Anzona DEPAR'I'MENT OF THE I�'TPiRIOR r�ar�copa Counry My Canmiss�on Expires 13ureau of Indian.AlIairs July 23,200� Great Lakes Agenc}' Ashland,Wisconsin 54806 The 4vithin deed is hcreby approved under Delegdtions of Aut�iority: 209 DM 8,230 DNI 1, 3 IA1�14,F00 03-01,datcd Ma}�`L,2003. �L��o� --- ��1�=-�------ Appro�-a1 Date Superinlcnden[ � G7 F� � o � � rn� � mrm om � o�o ..1 � � y� iv o=-ao � r� � cn-ar*� o� oro Ga ..,�D -D -n rn i �z ��'cv �cn t'=� �Q'°D rn o c� This instrument�vas drafted by the Great Lakes Agency,Ashland,Wisconsin 5�1806 O �`r S .��!'ENT �F T • i P� ��`�I�l,,,yF � p .: .'i� ^�.k.._ � �� United States Department of the Interior � ' � ° BUREAU OF INDIAN AFFAIRS "'-,�;�- Great Lakes Agency �`'6'�F' 'B°' 916 Lake Shore Drive West Ashland, Wisconsin 54806-0273 IN REPLY KEFER"f0: � 4609 A&D Realty July 30, 2004 s 431 LCO—Allotment, Diamond Mr. Dan Welytok 8712 N. Spruce Road River Hills, WI 53217-2127 Dear Mr. Welytok: Enclosed you will find the original Deed to Restricted Indian Land whereby you purchased land from Dara Diamond. The land is described as: Sublot 4 of Government Lot 1 of Section 1 in Township 39 North, Range 8 West, 4th P.M., Described as follows: Commencing at a pipe being the northeast Corner of Government Lot 1; thence N. 89° 25' W., 1,150 feet to the P.O.B.; thence N. 89° 25' W., 500 ft.; thence South 220 feet; thence East 200 ft.; thence So. 991ft. to the South line of Government Lot 1, 250 ft.; thence No. 595 ft.; thence N. 5°E., 614 ft. to the Point of Beginning, containing 7.27 acres, more or less, subject to all valid existing rights-of-way of record. The original Deed to Restricted Indian Land has been recorded at the Indian Land Records Office in Aberdeen, South Dakota. It is your responsibility to record the deed and the enclosed Wisconsin Real Estate Form at the Register of Deeds office in Sawyer County as soon as possible. A copy of Deed Document 431 6778 will be kept at our Agency. This transaction is now final. If you need further assistance, please contact Carole Kraft, Realty Specialist or Susanne Vandeventer, Realty Clerk, at (715) 682-4772. Sincerely, `�a , �J /� ��'1 c.c ; ��r� Realty Officer Enclosure ; .� Lac Courte Oreilles Reservation ,:' �5-5446 • b , , Allottee: Mishaquet seP� isss Tract 1Vo. # �131 6B46 - D �r�,�r.��-, r�. :431-10-06571-04 UNITED STATES DEPARTMENT OF THE INTERIOR ,� � '� � '� '� .� BUREAU OF INDIAN AFFAIRS DEED TO RESTRICTED INDIAN LAND THIS INDENTURE, Made and entered into this _�_ day of' � l _ Two thousand four, by and bet�veen Dara Di�unond a/k/a Dara McKeever, a sin�le woman, Enrollment No. 431U003329 of Gilbert, Arizona a Lac Courte Oreilles Chippewa Indian, party of the first part, and Dan Welvtok, of Milwaukee, Wisconsin, parry of the second part: WITN�SSETH, That said parry of the first part, for• and in consideration of the sum of One hundred sixtv-two thousand and no/100 (� 162 000.00) -----------------------_______�w___ dollars in hand paid, the receipt of which is hereby acicnowledged, does hereby grant, bargain, sell, and convey unto sa.id parry oF the second part the I�ollowing-described real estate and premises situated in Sawver County, State of Wisconsin on t�ie Lac Courte Oreilles Indian Reservation, to wit: All tYiat part in and to: Sublot 4 of Government Lot 1 of Section 1 in Township 39 North, Range 8 West, 4`'' P.M., Described as follows; Commencing at a pipe being the northeast Corner of Government Lot l ; thence N. 89° 25' W., 1 , 150 feet to the P.O.B.; thence N. 89° 25' W., 500 ft.; thence South 220 feet; thence East 200 ft.; thence So. 991 ft, to the South line of Government Lot l , 250 ft. ; thence No. 595 ft. ; thence N. 5°E., 614 ft. to the Point of Beginning, containing 7.27 acres, more or less, subject to all valid existing rights-of-way of record This conveyance is made pursuant to ttie provision oI� the Act of N1ay 14, 1948 (62 Stat., 236) , together with all improvements t�iereon and die appurtenances thereunto belonging. And the said parry of the first part, for herself and her heirs, executors, and administrators, does hereby covenant, promise, and agree to and �vith the said parry of the second part, its successors and assigns, tha� she will forever warruit and defend the said premises against the claim of all persons, claiming or to claim by, through, or under herself only. To have and to hold said described premises unto the sa.id party oF the second part, its successors, and assigns, forever. IN WITI\TESS WHER�OF, That said parry of the first part has hereunto set her hand_ and seal_ the day and year first-above written. WI , SS�S: � � c� . . d. t�D. �C.� �s...Y1n,c�-�--r�� [S�AL] • .___--_. _ ......_ ._... . .... .... . . .. _. . _. _ Dara Diamond [SLAL] �~ ��"p � _ f� � / /�/US a/k/a Dara McKeever [SF.AL] ��e � �" ��C� ��'`� [S�AL) -� � S �'e`"° 'Cy`� ° +�"„+ ,� r,� ^ �t.' �+. � ��4 � �� , . W � c� ' � � � �rn� Z� a o`.E , E t.,4 v:�"O �Q Acknowledgments must be accordance with the forms prescribed by the State in which die land is �� situaCed. � �, �� P,� STAT� OF c��' Z�n� }'� COUNTY OF ' `G� e� }ss: B�IT R�MEMBF,RED, 'I'hat on this --�-��day of �r��' , A.D. 200 before the � undersi�Zed, a Not��u-v Public in ancl for t�1e County and State aforesaid, personally appeared_ Dara Diamond a/k/a Dara McKeever, a sin�le woman, to me personally known to be the identical person_ who executed the within instrument oF writing, and such persoii_ duly acknowledged the execution of ttie same. IN TESTIMONY WH�R�Or, I have hereunlo subscribed my name and affixed my seal on the day and year last hereinabove written. � . �,,, _..... ;,, �-�w:�_�---- = , lL'/�- �.,. .. � � Notary Public M � commission ex ires �� y � �, - s y a � � AARON ABBOTT UNITED STAT�S Notary Public-Arizona DEPARTMENT Or TH� INTERIOR W Maricopa County My Commission Expires Bureau of Indian Affairs ' "' � July 23,200� Great Lakes Agency Ashlaiid,Wisconsin 54806 The within deed is hereby approved under Dele�;ations of Authority: 209 DM 8, 230 DM 1, 3 IAM 4, r00 03-01, dated May 2, 2003. ,._ ---��------- ��'`�.��=--------------------- Approval DaCe Superintendent � � � h� � � � � f'P'1� r ��1 r('41 QZ Q� C p�p ••r� -�„ r �Q�'J y—�'i ►v o--�c� � �� o c�,�r7 r o�a � ..��y� -p -�rn i � -�a �a� c�� W t-�n R°D �"' o c� Tliis instrument was dr�fted by lhe Great Lakes Agency, Ashland,Wisconsin 54806 � � � �,� Sv � fSTAPLE Wisconsin �� iTTAC RE.NTS Real Estate Transfer Return-co�f�ae�t�a� III(I,I)I II I I(I�I�lil (I ,II �� To complete see Instructions/or Real Estate Trans/er Return PE-SOOA. � Submit original form to Register of Deeds with document(s)to be recorded. Completely till in all appropriate areas. TYPE or PRINT � clearly in BLACK INK,and use ALL UPPERCASE LETTERS. If typing form,type through vertical character lines. I. GRANTOR(Seller) If more than ONE(i)grantor,check box at left and list on atlached addendum.Note:Lines 67-72 must be completed with grantor's address. . i.ro��i..�w.me o�canw�r Nema xo�e:Fo�m�c�mo:a a mamea�o�v�e�s one ea�ro�a sa�,e ias�o�e(:ea ima xl. UNITED STATES OF AMERICA IN TRUST FOR DARA DIAMOND s.ro�r Fl�a Namae�e�a uieeis mni.qq-u a mam�a�o�vb,snow bom rrs�names aoa mdaia��n�ai:. s.sodei s.eurtty N�me.r a reix 64488 II.GRANTEE(Buyer) if more ihan ONE(7)grantee,check box at IeR and list on attached addendum. . �.ro�r�..i e.m.or comw�r x.m. xo�.:vo�m�s v�mo:<a maRroe�o�ca�:a�e y�amea a��esi��,a(:aa ioe s)- WELYTOK 5.ro�r rtrs�name(e�ana wieeH i�niaip)-u:marr��e co�pie,snow emn rm�ames a�,a maaie�nn�ais. � DAN 7.Shss1 or ilre Number,H eny 7a.Streel Name,VO Box,or Otlrer AEtlrest(eNar"PO Box"eM Bot NumOer) 8712 NORTH SPRUCE ROAD e.cro s.s�.�. ,o.ziacoa. MILWAUKEE WI 53217 TO NECEIVE TA%BILL AT ANOTNER ADDRE55,e�xk hxs entl eompleh Seetlon%,pega 2. III.PROPERTYTRANSFERRED n.mm�.�a: cM v�naya X ro�„� � cn«kuaaamo�noac.iae�en.�onan�nw.aa«roum. ,z.x.m.ormecm�vin.ysiro.,� ,a.cou�yx,m. BASS LAKE SAWYER 11.V�ynkal Property�EEree�a PonC�dtreu(tleunption) BUCKLEY ROA.D is.ru vrcm w�mea.�n•vv«n o�r�wem ru mn lw.i�,��no�:� NONE 76.Groprry Dmcripibn:lol-Ebck-pW.CerlMletl SurnY Yap(�Y),or o1Mr tleslgnMbn:M Oasalption wlll ipl fM here,e0d enachmenl(�ins�rvc�bns) SUBLOT 4 GOVERNMENT LOT 1 17a.Secllon�pnmary) 116.TownaMp(p�vnary) 77c.Peige(primary) Clreck haro H mme t�en ona lot anE Clxk,a H Nqel Eescrlp�ion It meta anE EouMs or carlilbtl survey map; 1 39 gW en.enby.ia.o,iPno�.:.oem>oa�mp»i�.a�ouoo,). IV.COMPUTATION OF PEE OR STATEMENT OF EXEMPTION oaw,ns cexrs 18.To1�IveW�dXEALESTATE 19.Trenetx�ss0u� �nnann.e(�o�na�o�a+n. � 162�000.00 DOLLANS �OnitB%'0°�� S 486 narssu�ool f0.Tnns�xExwnptlon sa.nyo�.m.r•oos•«ron,^ni. 20b.USUolOrigintl Numbrt,5EC 77.Z5 m�nE�lary 10 provitlayour u�a wmna pnvbus Eocument number. MCNT1 WY YEW 21.Yalwoipxeonalproperry INWMOLE ��Valueafpropertyexempt �NN7p�E IranHvraAbWEXCW�ED ,� DOLLAPS homlocalD/opartytu ,� pptuq5 hom Ilne 1B. INCLUUED on Ihw 18. V.TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIAL 2].DocumenlNumEx 21.VolumdJeckel 25.PagWlmags ��26.DSISPecorEsO 27.DatsotConvey�� uorvn� wr rE.w uoxrx onr rE,w ]B.Conveyand warrzntyI laM �uA Clavn Other � Condo DeeO ConVact DeeE (etylan)� n.wunry(i) 10.YuNcipelirylt) 3t.co�mylz� a2.uu�t��iMlzl . C�eck 11 more I�an 1wo(2)muMcipalb � 31.b tMs a ap1i1 pucalT �� No tles;It so,refx to insiructlons (see inswdions) N.Enbr numbsr ol acra 1or axA ��p�ba"�u� . 3(Commercial) 3(Manulactunng) 1(AgncuXurW) 5�Swamp6Wasle) 6(Foresl) ](ONar) preNelasslflcstloneiMc�eck � �2 � � 1 5 6 � s prxeCing bo�lo a1wM protlominant cbaeHlcelba � ]5.Aasasmwit Yau ]6.laM ]T.Impmements ]8.Tobl RsseumeM � � PE�500(R.b2000) $ $ � $ Continued � J . Real Estate Transfer Return IIII I III IIIIIIIII� I II II f VI.TRANSFER ]9. Gmla/Granlw X Ndro Paimership Fmniy y MFunlryaOtMr.F.xplein nMbnsMp b: \ Fnarcial �NlSlurelwlCerf OMer i Subsitliary /0. ire�imfx X ��'A��( IeM bNenpe �aqun oi (�kin)� mnlrep) � landcamrzct it- ��a1Mxp1 X FWI Parlul ONx .. (e�P�in) (e�lein)� Ownership inleres�Iransiertetl mey De e hll inlemst ol a�uil axnership;a luil interest W a patlial ownarshp;or ot�x(evplein�. �t. Dua erilornWn f�iMfdbwing }{ None Estata EasemeM (e�tan)� Cl GnMak: In�vidual Corparation Teusl Pan�»rsnq �^o�^'� X rnner(sp«MI� INDIVIDUAL INDIAN TRUST LAND VII.GRANTEE'S FINANCING Franca�ozdmioo- Frorcia�ms�emioo- odanedhom /v�awceeexbTvg omer9rdpany w�nareiq � N. C�eckboxNfarYlHronrl�glypaellufappy Comeiliwrol Gaemmenl seller leuncvq linanciq vrwNetl VIII.PHYSICAL DESCRIPTION AND GRANTEE'S PRIMARY USE OF PROPERTY ° u. rrwa X ��ao�y c�a�n�� y iaaar�e ana� � EuiMnglsf (sGxrtY) �5e,p�bpp��grq Agricvllwal,A so,dif Ihe Yes /6b.C��ck M GraMw a d UN Snqe tamily MUXrvlarnly� �� Tme S�are Unil g2Mar ownpope��lo� UniS IessManSYears9� No PrMuryPeeldann Commertiel Miscallerreow M any poan tl IaX aro cMckeQ eiplafn u»here y U1iilY ManWaciwnq� Teleplpna COrtpercy d]i. LW SIZB �FWX�TO NEAPESi WHOLE F00T) p0.Tolel Acrq /8. pFl1PFCM'R ptree <9. Fw1 of Webr Fmntagr 1I. Es1lmalsU IlconEominlum, �s�e�r.. on«k n«.nm X OR 7 3 250 prxwa to Iina 50. FEET GEET NWN�IDTENLMOF,WALFE �UNDiONE%iNHIXEAGRE IX. ENERGY �� st. Fsaun�oncoe.� aw.n. sz. nw.izqov�aaowmemnume.r.nero�ecaraa � 50. It t�ls Dropetly suDl�lo IM Frtkemial �tuWbn � Namtl Wa�l�wlntlon SLibard�.COYY611 X �(I N0.pTVMO BSCIYSMOCNB)� W" 7 X. CERTIFICATION-We declare under penalty of law,ihis retum has been examined by us and to the best of our knowledge and belief it is true,cortect and complete. `+�. A9>M� 51.�gem's Num(A agenl invoNed'n sale) 55.TNep�oiw Numbar� }{ Granlor cmmee CAROLE KRAFT, REALTY SPECIALIST 715-682-4527 56. SV»t or Fin Numbr,N any 56s.StreN rems,PO Bm,w otMr atlErees(eMr"PO Boi entl Doi numEer) �� 916 WEST LAKESHORE DRIVE n. Ciry sa.5tate 59.ZbCo� ASHLAND WI 54806-0273 60.PrapwYeNam�wNmNems 61.TNepMneNumber BUREAU OF INDIAN AFFAIRS� GREAT LAKES AGENCY 715-682-4772 �wu ao� SEND TAX BILL T0: s2. w�. DAN WELYTOK 67.SIrM w Fks Numbr,M e�ry 6L.SVM Neme,PO Bm,or Ot�x RtlNese(eniw"PO Boa"anE Bax NumEer) 1872 NORTH SPRUCE ROAD w. cro ss. sw ss. zrocm. MILWAUKEE WI 53217 6l.Gnmols StrM a Fln Mumber.M�Y 67�.Gromor(xnere granta can be readied'm Ne Iunrce)StrM Nam�,PO Box,or O�Mr AAEnu(mUr"PO Boa"eM Box NumEer) 916 WEST LAKESHORE DRIVE 68.tlly 69. Slets ]0.Zp WG ASHLAND WI 54806-0273 71.otled ]2.TelephawNumOar 71.Odetl T5.TebpAomNumbar 7 30 2004 715-682-4527 414-352-5854 YOHIX WY VFIiN ,1FEACADE Mq1iX WY YFAP MIE�COOE ]].SqMundGrenlattGnntor'6R9m1(PLEASERifEYPTTOKEEP5IGNANXEWITIINBOJq ]6.SlgnetunWGrenlwwGrainea'sAgeM(PLEASEATTEYPTTOKEEPSIGNATUf1EWITHINBWp �i�-�, �Qp�'n-� �SUPERINTENDENT, BIA-GREAT LAKES AGENCY DAN WELYTOK � . � � ATTACHMENT A Dara Diamond a/k/a Dara McKeever, was a sole heir in a 7.27 acre parcel in Individual Indian Trust Land sold on July 1 , 2004, to Mr. Dan Welytok. The parcel of land is described on the deed and also described as the following: Sublot 4 of Government Lot 1 of Section 1 in Township 39 North, Range 8 West, 4`h P.M., Described as follows: Commencing at a pipe being the northeast Corner of Government Lot 1 ; thence N. 89° 25' W., 1,150 feet to the P.O.B.; thence N. 89° 25' W., 500 ft.; thence South 220 feet; thence East 200 ft.; thence So. 991ft. to the South line of Government Lot 1, 250 ft.; thence No. 595 ft.; thence N. 5°E., 614 ft. to the Point of Beginning, containing 7.27 acres, more or less, subject to all valid existing rights-of-way of record