024-741-31-2302-RZN-2004-032 �
�%" � Town of Round Lake •
� �1` County of Sawyer
July 12, 2004
SUBJECT: Change of Zone District Application - "
- � ,�, .•; >���
TO: Sawyer County Zoning Administration ����+�'�
P.O. Box 676 �'
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Hayward, Wisconsin 54843-0676 ���1��?� �� � L��'w�'
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Owner: Henry J. and Denise M. Martin
Address: 306 Monarch Lane, Holmen WI 54636
Property Description: Part of the SW '/4 NW 1/4, S 31, T 41N, R 7W, Parcel .7.2, #024-741-31-2302,
excepting therefrom the wetlands as indicated on the Wetland Inventary Map.
Volume &Page Number of Deed: Vol 850 Records Page754
Acreage and Lot Size: Approximately 6 acres to be rezoned out of the total 9.7 acres
Change from Dist.: Forestry One (F-1) to District: Residential/Recreational One (RR-1)
Purpose of request: To construct two residences, one a primary residence and one a guesthouse.
By Action of the Town Board, use is �, Approved
( ) Tabled
( ) Denied
Public Hearing: 20 August 2004
9:00 A.M.
James Henchel, hairman
' Gary Karns, Superviso
5����/l y���i
J Sandra Schara, Supervisor
���:�1 �
. . ,
,
Dear Members of the Town Board:
Your Town Board decision is an integral part of the decision making process far 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: Henry J. Martin 31-41-7 .7.2
Dated this 1a�� of �- , 20 ��
Kathy McCo , Clerk
Office of •
Sawyer County Zoning Administration
P. o. Box 676
Hayward, Wisconsin 54843
(715) 634-8288
September 17, 2004
Henry J. and Denise M. Martin
306 Monarch Lane
Holmen WI 54636
Dear Mr. and Mrs. Martin:
On September 16, 2004, the Sawyer County Board of Supervisors ratified the approval
of the change in zone district of the following described real estate to wit:
Part of the SW '/4 NW '/4 , S 31 , T 41N, R 7W, Parcel .7.2. Vol 850
Records Page 754. 10 acres total. Change from District Forestry One (F-1 )
to District Residential/Recreational One (RR- 1).
Yours truly,
Cindy K. Yackley ,
Deputy Zoning Administrator
CKY:kt
o�r«or ,, . ` �
�,�::�, ,z
Sawyer County Zoning Administration
P.O.Boz 676
Haywazd,Wisconsin 54843
(7I5)6348288
August 23,2004
Denise M.and Henry J.Martin
306 Monarch Lane
Holmeq WI 54636
Deaz Mr.and Mrs.Martin:
On August 20,2004,the Sawyer County Zoning Committee approved wit6 conditions,
your application for change of zone district on the following described real estate to wit:
Part of the SW'/.NW'/a,S 31,T 41N,R 7W;Pazcel.72. Volume 850 Records page
754.Appro�cimately 6 acres out ofthe total 9J acres.
The Sawyer County Zoning Committee approved with the condition that the property
cannot be further divided.
Findings of Fact of the Zoning Committee:It would not be damaging to the rights of
others or property values;it would not be detrimental to ecology,wild life,wetlands or
shorelands;it would not create an air quality,water supply,or pollution problem and it
would not create an objectionable view.
The Sawyer County Board of Supervisors must ratify t6e approval ofthe change in zone
district before it becomes final. This wiil be scheduled for the County Board meeting on
September 16, 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 Boazd may commence an action in
the Circuit Court for Writ of Certiorari to review the legality of the decision within 30
days after the date the decision is ratified by the County Board.
Yours truly,
Cindy K.Yackiey" �
Deputy Zoning Administrator
CKY:
�ce of '
Sawyer County Zoning Administration
P.O.Box 676
Hayward, Wisconsin 54843
(715)6348288
August 23, 2004
Kathy McCoy, Clerk
Town of Round Lake
11503N Rykman Road
Hayward, WI 54843
Re: Denise M. and Henry J. Martin
Dear Town Clerk:
On August 20, 2004, the Sawyer County Zoning Committee approved with conditions,
the application for change of zone district on the following described real estate to wit:
Part of the SW '/a NW '/<, S 31, T 41N, R 7W; Parce1 .72. Volume 850 Records page
754. Approximately 6 acres out of the tota19.7 acres.
The Sawyer County Zoning Committee approved with the condition that the property
cannat be further divided.
Findings of Fact of the Zoning Committee: It would not be damaging to the rights of
others or property values; it would not be detrimental to ecology, wild life, wetlands or
shorelands; it would not create an air quality, water supply, or poliution problem and it
would not create an objectionable view.
The Sawyer County Board of Supecvisors must ratify the approval of the change in zone
district before it becomes final. This will be scheduled for the County Board meeting on
September 16, 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 in
the Circuit Court for Writ of Certiorari to review the legality of the decision within 30
days after the date the decision is ratified by the County Boazd.
Yours truly,
Cind�ck��
Deputy Zoning Administrator
CKY:
. . . .
Town of�et;.,.c� ��
County of Sawyer
�TS �.�„�e a � a°�`L
� Date
SUBJECT: Change of Zone District Application � "� � '' ��;;�� �;,�;.� �_ ,-� �
+�' '�� ...�,,"4a , � ; � + � :
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TO: Savvyer County Zoning Administration ' � �`� � �
P.O. Box � Cp 7(0 :�� .�f)I_ . ` . - ;'' " '
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Hayward, Wisconsin 54843-0668 �a _,� ; :�
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Owner �� ,� e.0 s,e ( " \ L�.d"t � ,'�
Address _ . �. � n•�, l�_��( i� -3i� �a U4-S��33 i�
Property description � ' .�
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) j � 9 � `r
,�Volume an page number of deed and survey \,� ;;\ � , �Z c •� � �^ OS L
z -� c.�c� V �� � c�,rv,-e 5 3`-I � 0.c�.� ,1 C� � �� d / � �.
� Acreage and lot size _ ,''- �- '�-� � � ' �
� - �"i. ; , _ . ,..��
� Change from Zone District � ��to Zone District Z l -v,` �.. �
-J Purpose ofrequest �'!—(� ,.�;�� � � � `�c�
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—."' li 1` lS 0. �{ '�D � �(�i s,�.. �� �v�c -�2l�Q�J.f52� ��
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PH• 20 Au 2004
Name and address of agent: j
�
_�
ignatures of property own and agent
and/or purchaser. The above hereby make
application for a change of zone district. 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.
� 4�'�'i=?,
���r _. _ _ �;,�
lune 28,2004 '� F JUN 3 0 2D04
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Si1W'� ;CL r`�V
jpNf�i;�1i?v:;<fy i N,+�TI!1►1
Sawyer County Zoni�g and Sanitation Office
P.O.Box 676
Hayward,WI 54843
Re:Change of Zone District Application
Dear Sawyer County Zoning:
The attached appiication is submitted to request change of zoning for propeRy location:
The West Ten(10)Acres of the Southwest Quarter of the Northwest Quarter
(SW1/4NW1/4),Section Thirty-one(31),Township Forty-one(41)North,Range Seven
(7)West,EXCEPT that part conveyed to Sawyer County in Volume 414 of Records,
Page 205.
The aforementioned property is currently zoned Forestry-one(F-1)and we are requesting
a change to�Owdenlee�e�e(R'P�l)for the purposes of building a 4-5 bedroom home and a
separate garage with apartment which cannot be accommodated under F-1 for the acreage
of the pazcel.
We appreciate your consideration in this matter.
e ectfull yours,
- � - ���.,.��� ��.�
en and Denise Martin
306 Monarch Lane
Holmen,WI 54636
Ph:608-526-3312
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11
Town of Round Lake S 31, T 41N, R 7W
Parcel Property Owner Vol/Pg Deed
.7.2 Henry J. and Denise M. Martin 850/754
306 Monarch Lane
Holmen WI 54636
Timber Trail Condo
Unit 1 Daniel N. &Kathleen T. Manders 673/211
426 West Milwaukee St.
Mauston WI 53948
Unit 2 Thomas D. & Julie A. Bramwell 710/115
1102 Vicki Drive
Tomah WI 54660
Unit 3-7 Alan J. & Mary R. Reinemann 480/486
12150W County Road B
Hayward WI 54843
Unit 8 Jennifer L. Maher &Douglas R. Mabie #313510
1455 Tallevast Road
Sarasota FL 34343
Town of Hayward, S 36, T 41N, R 8W
.1.1 Grand Pines Resort Inc. 621/493
12359W Richardson Bay Road
Hayward WI 54843
:2.1 Carol J. & Carlton J. Schroeder 330/23
12225 W County Road B
Hayward WI 54843
:2.2 Robert D. Thompson 455/81
2134N State Road 27
Exeland WI 54835
Town of Round Lake, S 31, T 41N, R 7`V
.6.2 Nancy J. D. Hanson & Sharon A. Huhta 800/819
164 River Road
Manitowish Waters WI 54545
.6.5 Donald A. & Shirley M. Reinemann 639/302
12168W County Road B
Hayward WI 54843
.7.1 Noel Estenson 636/329
12126W County Road B
Hayward WI 54843
.10.1 Hayward T-1 LLC #314266
N2882 State Road 16
LaCrosse WI 54601
REFERRAL OF APPLICATION FOR
CHANGE IN ZONE DISTRICT TO ZONING COMMITTEE
Owner(s): Henry J. and Denise M. Martin
Town of: Round Lake
Change from District F-1 to District RR-1
Whereas, an application for a change in zone district has been filed with the Sawyer
County Zoning Administration on
July 1 , 2004
Said application is hereby referred to the Sawyer County Zoning Committee, which is
hereby directed to hold one or more Public Hearings on t he c hanges p roposed i n sa id
application, pursuant to Section 59.97 (5) (e), Wisconsin Statutes.
Dated this �th day of July , 2004
�uo-
Kris Mayberry, County Clerk
Julie A. Hofer, Deputy Co�mty Clerk
Sandy Hebbe, Deputy County Clerk
Office of
Sawyer County Zoning Administration
P.o.aox 676
Hayward, Wisconsin 54843
(715)634-8288
July 12, 2004
Henry J. and Denise M. Martin
306 Monarch Lane
Holmen WI 54636
Re: Part of the SW '/4 NW '/4, S 31, T 41N, R 7W, Parcel .7.2, #024-741-31-2302
Dear Mr. and Mrs. Martin:
Your application for a Change in Zone District will be considered at a Public Hearing
before the Sawyer County Zoning Committee on
August 20, 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, Kathy McCoy, 11503N Rykman Rd., Hayward WI 54843, 715/462-
9271, to confirm the date and obtain the time of the Town Board meeting for your
attendance or the attendance of your agent.
31102%� R��9���5��a } SS �, .
STATE BAR OF W ISCONSIN FORM I•2000 ggy,�rgr Cpunty
WARRANTY llEED ived tor recwd tnis ���
UocumentNumber q p 20�_et ,
M and recorded as voi., �
This Deed,made between THOMAS R.THOMPSON,an adult ���
man, _ _ a/k/a THOMAS THOMPSON ______ �
---- -- Rephler
_ - _ __ — _
-- -- -- - - -
_ __ - —
cen�+v
Grantor,and HENRYJ.MARTIfV and DENISE M.MARTIN,husband
and wife,as survivorship marital property, _ _ _,
Grantee._ -- —_.-------
Grantor,for a valuable consideration,conveys to Grantee the following
described real estate in Sawyer County,State of
Wisconsin(the"Property")(if more space is needed,please attach addendum):
Recording Area
The West Ten QO)Acres of the Southwest Quarter of the Northwest Vamz and Remrn Address
Quarter(SW1/4NW1/4),Section Thirty-one(3l),Township Forty-one
(41)North,Range Seven(7)West,EXCEPT that part conveyed to $AVJYER COUNTY ABSTRACF
Sawyer County in Volume 414 of Records,page 205. PO 8dX 164
TRANSFER Hayward WI 54843
;�C � - �
�L 024-741-312302 ...__
--� -- --._-_
Parcel Identification Number(PIN)
l his is not humestead propeny.
Together with all appurtenant rights,title and interests. (�� (is noe)
Grantor warrants[hat the tide to the PropeRy is good,indefzasible in fee simple and free and clear of encumbrances except
subject to easements,restrictions and reservations of record.
Dated this __ . y __day of_ �e{�� , 2003_ ;'
O i ,,
- �1- � _ ����--
_.__ ___.
-- -- __ _
„ 'T � AS R.TH0�1PS
-- ___ -- -- -
f
* _ _...__ ___ —. _ _ _ _
AUTHENTICATION ACKNOWLEDGMENT
Si�nature(s) STATEOF �VISCONSIN _)
-- -- _— — )ss.
—- - Sawyer County )
au[hzntica[ed this.__ _____day of _.____ personalty c e before me this —��- day of
2003, the above named
.. __-- -- —_ _ _—
_ , -._
Thomas R.Thompso
� — — __ — _
--;�-`,�..`,.�.,..��ti�`.,.
TITLE:MEMBER STATE BAR OF WISCONSIN — -- - -- '�• •
to me known to be the person(s)who execute�iyie7p�g�oina�
(If not, .___ . _. --. instrument and acknowledo � nie.i ' '�•°:�'••��
authorized by§706.06,W is.Stats.) ` ' 'V�'•�% "Y.
__ �-r — +�� � _��?:
T{115(NSTRUMENT WAS DRAF"rED BY + V _�//�L✓_. K�L - ' "� ?v��
--
MICHAEL A hELSEY,ATTORNEY AT LAW Notary Public.State of N'�SCO�SIN °� -�' _, ..
-- - - ;
State Bar No.01013300 My Commission is permanent.(If not !e'ghpirauon date` i;=f.
. '..___ - ��r��. r .l 1
�Signawres mny be auth�nticated or acknowledged.BoU�are no[necessary.) _..._ --
"T�amcs ut parson,signing in any capacity must be typed or printed below their signawre. ;-a '- '
STATE BAR OF W75COtiSIN INF0.PR0 (800)655-2021`Www.inioproforms.com
WARRANTY DEED FORMNo.�I-2000
VOL 8 5 0 PC 7 54
I ' �I.
,. oOcuMensr No. ' II STATE BAR OP' NISCONSIN FOP.ni 3-198a�� T��s e...cE acscR�E�.on REc.Ro�kc c.-.
QUIT CLAIM DEED
�',;i 7�J� j�-- r�m.oro� �.
_ . ..-- - .. ., - -I Sawyer Counh
_ ---
�,-_ ___.�-�-- - - — '--- . .
--- -.., —:_--
. I ecefvad ior record the �� de7 oi
�',' ROBERT R LESSARD, JR and SANDRA L LESSARD I, ��AC19tY et oda3
�-- ---------'-----'-'-"--'-----'---------------'-'--'-----•---------- II M d:ecorded In voL�'L�,
-'�'1i5,WI{8. �-----'--'---"---'----""-""_"---"'-._'
"'_" _' __"'_ _'."'._."__......._........_'_.._."_ __._" ��� d Eieoada oa PeVe�
'--"•'--.._'-"-"'-'--"_-'-..-._..---....."--.._....--"'_...—"---'—'--....'—"---...... �
.� . SAWYER COUNTY a oliticai subdivision of ,,.u, ,
i, 9ult-claims to ....'._'....'..."'.."....'."'._........p...�..�...._'...............�.'.__.'_""'.' , ��', R��
the State of Wisconsin.. .................... --.....................--�-�---•�-- ''
.............._....._.....
..
. .
� ..------_.------------�- --�--- --- - -- - -�- �--�-�.. ...................
�+
. -- ---�-- ....�---- ............ -..._.........----�---� ...._......._... . ,
----- I
--- . _...---- ��
-- --- - -�------�- ----.................. I
Sawyer_.... County, �
the followin�descriFed real estnte in..... .-.---�--�-�--- - � - - —--_�_— -_'�--- -�� - �`-
, State of Wisconsin: � ' , ET/�
`�"`til
I � Tax Pnrcei No:---'-'-.......--""_".--
I�
Part of the Southweat Quarter of the Northwest Quarter (SW1/4 NW1/4), Section Thirty-one
� (31), Township Forty-one (41) North, Range Seven (7) West including all of the land
contained in the following described traverae: Commencing at the Northeast corner of
said Section 31; thence S87°51'17"W, 1981.69 feet; thence S02°OS'43"E, 1408.65 feet;
' thence S87"22'12"W, 583.37 feet; thence S86°58'OS"W, 1000.07 feet; thence N87°38'S2"W,
100.35 feet to the point of beginning; thence S02"21'28"E, 65.00 feet; thence
I S87°38'32"W, 719.78 feet; thence S87°58'32"W, 780.60 feet; thence N81°30'43"W, 54,81
'; feet; thence 361.72 feet along the arc of a curve to the right having a radius of
;� 11514.16 feet, the long chord of which bears S88°52'32"W, 361.71 feet; thence
�� N00°13'28"W, 110.00 feet; thence 358.27 feet along the arc of a curve to the left having
� a radiva of 11404.16 feet, the long chord of which bears N88°52'32"E, 358.26 feet;
j� thence N82°40'29"E, 54.12 feet; thence N87°58'32"E, 780.23 feet; thence N85°SO'S7"E,
I 319.57 feet; thence N87°38'32"E, 400.00 feet; thence S02°21'28"E, 70.00 feet to the
'j point of beginning.
1�'I
'I �����+�^�-
�. 1 fl7'1ICtiJf L�1
ut �'/�r�.e
��
��E
�
',I
�' This homestead property.
.. ....------'--.....----'�--
(is) (is not) /� D
I Dated this `f�/-yH-�l�-��'-.....18-�6�•
—.'-�...�.... day of...--.._----'----�
�
, ..........�--
, -----........--'---...... �/
I, ; �/
� „. � � /
. ' i .9/i:'/ . ;_, .?./'�E'!('c�".�/C'..(SEAL)
�� _ (SEAL) � � �-
I ......_.._.__.......---..___..__..........._..__....._.. ---,f:/':__..-.:..____...�� ,
i . '-.----fi�?BERT._.R...LESSARD.,..1R_..._
- - _ - ........._- ... -� -� --
�� (S6AL) �'Llj-!'�_-=�...%� ._.:i%=�=.-�.��S�ALi
:� ..._......._..........--'--�--....-'----------..._-'----'
--�----/-//'./----n ��
� « SANDRA L. LESSARD
_ ..._..__ .-._... - - _.... -- -_...... .......
� AUTHENTICATION ACBNOWLED6MENT
' Signature(e) STATE OF �t'ISCONSIN
-----...................................._"------"-'- � na.
.�! '__•__""""'__"""""""_""Y"___""""_..._'_""__.__""'_____
__...SlgLtl.YiF�....___.._County. '
authenticated thia._......da oP...........................19.._... Personally came before me this._..�.Z...day of
'I ----------------T.!4l.�N.[4�..}�--� 19..�the aboce named
, --•--�---�-------�-------�...............................�---�-�--�-��- 6obert__R. Lessard Jr. and Sandra L. _
' -�-- - -�-- ......-�---�--- ,�`'S F�i�'SaP ---------------------------------------------------------�-
���„�,.
- �--�-�-----�--�-�--- --- ,,���h ---otl--------------�•--------------------------------•--------
y
� TITLE:MEMBEK STATE BAR OF WISCONSIN p ,�•��e. •
� '-'- 3"�'--
���0 ,o' � ;--'---------------------------._...••--------...-----'-
(If nat,--.._..---------"-------"---------'_---"'��-�:� ��."-'�c:---G'----'-'--'--�----......_---"'-"-'--'---"'--"-'__
authorized by§706.06,Wis.Stats.) • '`{q me kno"t1�t6 be the personS----_._._who e�ecuted the
� ' '
:� _ � f�tegoi nteBriiment and ucknowledge ie eame.
�y o�� ' _ _
THIS INSTRUMENT WAS ORAFTED BY � � �� �� � ~^
�' S - :; ��� /
=' y '—
Norman.L. Yackel, Attorney.at La3�P •. Q , /
I i�v ••....... `�, � �-�--�-•----.......
' 312 Main, Box 748 Hayward, WI 548G3, Sj7K o-` ;'�� /� . . . . -�--�-�•--��---.. ..
, .._....-- �------ —"--- —"---.. ...."--'- --... p� �dt'Rr;v.TLhlic y'1G4���.. . ..County,W�s.
' (Si�natures mny be authenticnted or ncknowledged.Both ���`I�'��Commi�sion is permanent.tIf not, state expiration
.' 1re not necessarY•) date: 7� "-------"--"'-'---"., 19.�--•)
----- --�_—...._
�L4 �.-4=� 2�5 - -_-___ __ _ _
9UIT CLAIM DEED STATF.ItAR OF WISCON3IN �5'ieennxin G¢sl Bl�nk Co. Ine.
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I DOCUMENT NO. li WARRANTY DEED - T���S SPACE RESERVED FOR RECORDING DATA I
i� �'. , + i� STATE BAR OF WISCONSIN FORM 2 — 1D82I � �I
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' 1leqlt�sah t9ffo� �
� ROBERT R . LESSARD , JR . and SANDRA LESSARD, Husband and
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' Wife ,
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�� convevs and warrants to _ THOMAS THOMPSON and KELLY THOMPSONi __ I
; Husband and Wife , as Survivorship _Mar_ita.l _ Property.___.__._. I' '
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the following described real estate in ----•- _Sawyer...... .......•-•---•----- County, -- -_ ___ _. _� �...-_
i State of Wisconsin :
Tax Parcel No: ._.31-'-4•1-,-7 :-7 ,-2 --•--
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The West Ten ( 10 ) Acres of the Southwest Quarter of the Northwest Quarter ( SW 1 /4
NW 1 /4 ) , Section Thirty-one ( 31 ) , Township Forty-one ( 41 ) North , Range Seven ( 7 )
West, EXCEPT that part conveyed to Sawyer County in Volume 414 of Records , page 20:i .
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I This .. .__..],S__T10�_______ homestead property.
(}�cy� (is not)
Exception to warranties: SubjeCt to easements , restrictions and reservations of record.
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i Dated this - - ---� r- --------- - ------- dfly of --- ._.__.. __G�u',.- - �-- �- - --- ---. _ - -, 19.. �7 .
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� ;. * __RO .ERT,.R,___LESSA �H, ._._..
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* � SANDRA LESSARD
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) __ STATE OF WISCONSIN
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atithenticated this ._______day of___________________________ 19.____. Personally caine before me this ___._.��'=day of
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-----•--�u-r�,,.------------------•----, 19__/�_ the above named
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____Bt�b�rt__R.__Lessar�,__�7r_.___a[�d__Sandra_._____._
` -- ------- ------------ - --------------------- ----Lessard __...---- � � � ---------------------••-----------
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TITLE : MEMBER STATE BAIt OF WISCONSIN _ "` A ,D L sf ��
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I �If not� '--------'-"'-"-----'----'-'----------'-•--"--'-"'----'- "-'-'-•'-'-'--';`��.�����N�4��� �III-"'---'-"'- -----'-'--
� authorized by § 706.06, Wis. Stats.) to me k�low,� to � t� � � _ wlio executed the
� furegoing ipstr�n�t_`��aL'I�o led� the same.
� �THIS INSTRUMENT WAS DRAFTED BY Y� � �
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---- LEIN LAW OFFICES -- - - ------------------------------ � • �' �� - : .
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Post OEfice Box #7b1 '-------------� � ` � .!-. -- --- -------- --
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_ HaXwards Wisconsin _54843 ____ _ __________________ Notnry Public't��r�O__ {_r�u�� ����- _ County, Wis.
(Signatures may be authenticated or acknowledged. Bot.h M�� Co�nmission '�y����rA�•1'��i�(a��if not, state e�piration
are not necessary.) date _, 19 __. )
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-'Names of Peraons s�8mng in nny cupac�tY shu�dd be typed or prinlcJ Lc o�e thcir signutures.
� ... . � . ..,.... �..t.,, ��rn�rr »nTr rn� �encr��v���nr Wisconsin l.egal Dlank Co.. Inc. I