HomeMy WebLinkAbout002-940-23-5215-LUP-1998-637 Application for Land Use Permit �, o
County of Sawyer � � .�_�
PO Box 668 -Hayward WI 54843
715/634-8288 � �
The undetsigned hereby makes application for a Land Use Pemvt and agrees that all work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin. ,
PRINT-USE SLA^K INK OR PENCIL ��
��.. , „ a; _ �
�:N ri.Ja�rlr�v �5eua��/Dau,e ,S�nlrn� ��k"y -S�L v� ��E,ri�s�Y��i' g
Owner ��y�� Builder �`-� y
��a� a��N �_ /�D /3ox �/3z �:
Mailing Addtess Mailing Address :;
�acl.�t��� ���/ ss�a/ S,9/�r�� /�ir/ S S 3�� �l
Ciry,State,Zip Ciry,State,Gip s
.�D7 - �8�-9%73 ' (� .3y CS/��� \
Daytime Phone Daytime Phone �
Building Land Use
O New O Filling Zone District �R - I
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size �
� )Moving On ( ) n„ ,.... , -.'� =� : � �_
( ) ( ) Acres 1� PUtiJ��"'�a00 t-�Ya��lqgD � �:
e � `:
Primary Structure Accessory Building Addition � �'
( )Dwelling (�Gazage-attache etache ( )Deck s
( )Yeaz round (�#of caz stalls ( )Porch r
( )Seasonal ( )Storage Building ( )Enclosed - �
( )Frame built on site (X)Screenhouse ( )Living room � < �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen •
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary shvcture ( ) ( )Relocate/enlazge c�
�'ei,Iri�+c l c�r� �X�sT i�,j �--- O#of new :
Type of Construction �w �
�Frame ( )Log ( )Pole/metal (�Block OC)Concrete .�
( )Other `"
�
� �Construction Cost$ '�(��G U c) #
- �
Vol�Pg ,���o� of Deed Certified Soil Test# �$-oy� �
CSM Vol�_Pg =��/Pj Sanitary Pertnit# ��t';� f` .%" -�7� IC
Plat Envelope Or: s_ z
_. �
Condo Vol Pg Yeaz Insta(led '
Aff of ex septic V P Owner When Installed: � -
��v �_arSON � �� (���
U3o��
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each slruclure, s�ory, addition, or altera�ion.
#�► --�� ',-, � :� #�2: ' ',;r�''r , .._ #3. #4.
Size_��_ ft. wide 2.G ft. wide ft. wide _ It. wide
___�,� fl. long _�(� ft. long ft. long ft. long
Floor area SO sq. ft. �� sq. ft. sy. ft. sq. ft.
Hgt from grade_L� to peak )y� ft. hgt. ft. hgt. ft. hgt. �
Stories — — stories stories stories
#of bedrooms
rear lot line or waterline of lake/river
In the box sketch in:
j ocati.on and size of all �`�`��`'tOti e- ���`¢' ti.
existing and proposed structures. Z� F� D� �
�
I.ocation of septic system. ��__�__ . -- - : _ _ =
---_ _�----- _ I
Indicate distance to: �'�.��p�;M K�beu� (,q.{u, 75�
Waterline
Road I S t�F Pra,� a� '
� 5.�t
Lot lines � i�s�
Septic system ` ,___:�_ ���"��
Distance between structures.
� �� �v,r�o�,w" a�'
.sc�.e�r� �_ �►
�r� �' . �
Indicate North. __c�__ � � �
� �, {e-- �\o —�
Fire Number: � ��� ��
\
8 3�.`-f �1 t.v. L�.k�s�v�- F�� � � --- `��b �� � �
' 2�'�
c��o�
/� �� � � � � � � � - --_ - - - -� �
, � j - - - - ;
,
� _ j '
/ , / � �
� Sig � re of Owner���� j '
�
Th bove certifies that the listed , %
information and in�entions are true and f
c;orrec[.The above person/s/hereby y; �
give permission for access to the •
property for onsi�e inspection. ------- centerline of��.re s� L�c l�t�or� (.a�, �t. rc�ad-------
Issue Date Ocotber 30 , 1998 Expire Datc Oetober 30 , 1999
Office Comments: - �
Signawre of ning Administrator
y
t � �. ci
� �
i9 �
� •�
� J�
� ^ � �
''S }y
� � �
� � �"' ;-
� � �
$ �
- kkv, � C, e, d b Li
L,oc,T`2 �
b_-Z3-13E
.-�d)bA-s�
�
Rpplication for Land Use Permit
County of Sawyer o
The undersigned hereby makes application for a Land Use Permit and agrees � ,
that all work shall be done in accordanr.e with the requirements of the Sawyer F�„
County Zoning Ordinance and the laws and regui-ations of the State of Wisconsin. O
PRINT - USE ONLY BLACK INK/PENCIL
t�1 � A 2 S c� /� �'�A r`,7: Y l"�G r���� �
p���1 --
Owner Buill3er � 9�
�3� S-I'���r c�o�, r� �T Po (3 0 �l 3 o K � �
maiiing address mailing address
�'�.K�'� -S'��_C'1_—___1��o l8�' l��_v�t,,.' �2�D � `��Y 3
city, state, zip city, s_af t�, zip
Building i.and Use Zone District �Q -2
� New ( ) Filling s �
( } Addition ( } Dredging Lot size �__SUR�E.� �'
� N
( ) Alteration ( ) Grading � n
( ) Moving on ( ) _ Acres 3 I�j
( ) ( 1
�
New Construction �5 +O
Size _��_ ft wide �_ ft wide
_�,�� ft long � Zg ft long
�
Floor area /�{ )� sq ft '�"'((0 7��6�of� g��740 sq ft
-t- a-S�Gi �LJ
Total hgt �1� to peak ��oT �VEN t� f'�k �"Z�j �`'��,.,�r/ x p
Stories �_� ��/ Z
No. of bedrooms �j rear lot line or waterline
(year rcw'id) �-f�) �����'��� -
Type of bldg or addition __ ��`� -ZS • � �
(?Q LTwel I.iny . `'`
� ��
t
( ) Garage (1) (Z) car i
( ) Storage building � � ~ �
1 Jr a r*
t� � - �'
( ) Boathouse i � N
( ) Livingroom a �
, . i� N
(�'Hedroom �� �
( ) Kitchen-dining � '" it,� T- ry
( ) Porch - enclosed/roofed �� � �
t �Id
(�(Deck - open � i ��D 2$
( ) i � �A �
c � - ' q4 ,µ, stl
— w� �
N�
Type of construction � f
i
(}Q c rame O Block �i �b „J
( ) i,og ( ) Concrete r � �
i
( } Pole ( ) Steel � i W
( ) Metal ( ) ____ � i
� � v
i
Construction cost $ g_j(JOU � i ,� i n
I � �
Vol ��_ Pg���_ oi deed i S i (,J
i �
ct 3�8 i
csM vol. g Pg �53 ; i a
�
�
Cer. $Oil Test �� -Q�-I � i m
r
C road -a=-------- z
Sanitary Permit �� -�,�-rj i�����T b^,. N o �
1 �
' W a�� � N z
Issued Zrj m� `��S�j Denied �
y� / '�
-- \ � �
��� ►�-�� �
-s��' 2oning Adminis rato
�JILpE�
�F BASS LAKE :, � NUT USLp
TWP 40 N . R. 9 W. � �
:1.6
�1.5 °1.2
,
'"' �1.4 �1.9
y
:I.1
y
.� :1.13
.I-17 :1.14 � I.8 :I.lO
:I.II �s
:Lf6
� .1.3
:1.18 s'
r•r :l.I
� '1.12 � �
,,�
�2.8
�-; :2.3
,
�2.9
�2.5 /.
�2.4 �2.1
�2.1 I
•2.12
.3.2 �2..7
=22
�OAD .3.I
�2.1
�2.6 �
;
014.I �3.I
�3.6 ,..s O :�:"
-3.2 �,;:
'.:
.Ts 3.9 ,g � i'.
i F �';
'�:33 �e �
� - �::
.14.2 �3.4
;�:`
;3.8 ,
2 37 ��
3.5 �
�
�-
�O �4' � GRINDSTONE
�42 ,
.
,.�,
"�4a7 L AKE
�� �4.3
.�
�\\
� � ,, .
\\ll II I �'� � - .�Ii
// i
// I
o •
I I •
// �I
0 ,
�l 9 � 10 � �-_`�
�°i � „ �I�
°i �
//
� PETTY I�'. ° C�!
// I LAKE I
� i
I I �
�\ i �
II ADINA � � z
� WILLIAMS i� LAKE \� l
- � �— �
�� -
i ji -�_,;, �.��
R��j /(� ��J
�� WILLIAMS ROAD � ���
\ i MURRY =� 1
LAKE LAKE �� � II
iWILUqry� ' II
I ISLAND ��`^
I
LAKE � \\ i ( �\
16 I 15 � i �4 �� 1 �,
� CRANBERRY� � �� � �,
oj� BOG �_� ; ����; ���J-
� � � --%T� �'`��
� i:::::::: :: ::::::�:;:�:�:;:
�>:..;.:':::::::::.:.:.:.
1\ ' i
. �::i::.::.:.;.
\\ �:,., .
z
�'�''�''�=��:'�'__'�'-'-_ :.;'''�'� �':'::::::::'':::':'::�::�:
II � � . . . 24 .. :::::::::::: ::::::::::::::::::::::::::::::::
��_ �.. z
�o � -'-�_� '�
�� _
((� � ll
�, lI Q ':::::;:::'�>`">: :>:�:�: : :`: ':�:�:.:.:.:�:�:�`:'
�`l_ ��
- �:::�,:�...........................:...:.:.;;:......._.,,..,.,.
�
\\ �
� '� I ���� : ::: :�:; ::::>:: : :<�:: : :>::::><::` GI
21 I ��=�'�� 22 R�P� 23 � � '' : :':�:»>: : � : :>: : :: : : »»:�:�:�:
� Ill \� \ l,� ��_-� . .. . . .�.�... . ..... . . .
\ I ° �,� �_, .:
� -�,
z ! : : > : : ; : :>:: : :�: >': : : ::: :.::.:.:.;:':.:?�:.:':':':>?.
, - �� \ � i
= c� :•: ;:�:•»:•:•:»: : : :: : :�: : :•: : >: > " . . . .,•:�:�:•:�::•:•:
�, WINDIGO , x \'�.�:.:.:::.:. .::` ; ;,:,;,;:`; .:.;::,:::.::: :: . ;;. .: ` ? ` ` : .: ..:.:
' � �% LAKE � . .... . . . . . .
� �_��_ D `
� �� Y
.•.'l�.'...•.'�{'�'�'�'i•'.:.:.:...:.:...:.'.'li�,�'�:.,.;.;. .'
��_.'. .
\ �•••�.���•'•••��••••�•���•�•�• ' j
% ....:...:.... • ;�:r•�•..i.•.'.'� �•3.•� .'.•.•.•}.'.'.'.'i..:r.;.'.•.•.•.:...,...;i.;.:.;.�. .;�:.;�•.•.,r.��,���,�(�.!�.
\ }ii:���.�.�:�}i?}i.•i.�.'.�:•:•i?''.'.�.'•'•'.�.'.'� .','.':�.�ii:•i.�}ii}i:
� �,�.!'�
�
\0 )�
'::�:.:fi<::r'::.:.:': :�: :�:': :�:�:�:�: >: : :'����: : :�: :'>:����:�:�:�� :>�>:�::': �::�:.:.:.:.:::�:�:�:
� ��
�
\_
—— �
�
:.:.:.:.:E. .A �::::�:'•�:�:� � �:�:�:�:�:�:�>:�:�:�>: `:�`: :�?>: ?: ?`>::"`<:�:�:�:�:�
, // �����`��:ZON
��-- �
-- �
� �
�
�
�
�
�_
�_
�
H
UB
/
�
/
` ..
`
�
I
I
✓ KE
28
LA
K
E
LA
\ l
\
l
�
2
7 . .
l I
I . .
�
�
\
\
•....�.
.'.'.'���•�'.����'.�.��'.��'����.��'.'��.�.'�'���'�'�..•.'�'���'.•.'•'�'.'�'�•�''''�.:�•���'.' ''�.�'�'�'� � �..'..' �'�.�.�.�.�.�.
�� �� \\ �v/ TWENTY-SEVEN �
� �� �i 26 .
\�!� � � � � ZONE X
D\ , �,`\ ;;:`::;:�::� �: : ;;v;x::>:::;::::'::::
�l_lJ CRANBERRY �� ..�.'•.���:;�:���'`'__
�/�-� BOG i� , � =j\
� � I� �
K- I �
.__-�___ - '%�) i 1` �
II I '
_ - -- -- �� � ��
��-------- �I r -- ( =T- ----- I--�_____
------- _ __
-� i I� � � � _/
��
J K K II � � �,�,�\ ;�I � �
i MINNEMAC o )\CRANBERRY ; ., , �p �
�� II BOG � 10HNS0�
IAKE � i SCHOOLHOUSE ��1 ;
i ��� � LAKE // �-:. � LAKE
\ � o\_\ //�)) " ':;;;:;:;::::'::�:>%:�:�:�»:�:�:�:»:�;:�»;:�� �
,� ;:� �� 34��- CRANBERRY � '\� u .. . . ..........,,.. . ... . . . . . . . . . . .,.. �
�J� , I� : ��>:�:�:�:>:�:�:�;:";::::>:';:':::>:::::::::�:�:�:• .
��� BOG �l � :. � .
�� ��
33 �� �� �
�
. . . . . . .. . . . . . . .. �
. . .... 35 .. .
. . .. . .... . �
�:. . . .�.'`:�:�:•`•;:`;:;:�:::':�:;>:��::�::: i:..:;: �
�
.;:;:::�;:':;: ::•.:�;::;:
DURPHEE
:....::::....::..:::.. \`�. .
LAKE
��--�
RANB RRY'
C E
/ �
/ �- .•••::.:.:.:::.:.:.:<.:::::';;::::::::;;:;'''''''�'�'�'�
:, � �-, :.,�.�.�.•.•:::�.�.•.•.�..�.;.;...;ZO N E���A �:::;:�:;.'::::::;>:::::�:�:�:<�.;::.�.
; �/ BOG �� // • . II
\•":.:>:?:,'{:�:;'�:;?::•�''
�
. .. :.:...........:............ , �,_J :::. �
_ „ .: �
�
, : :::::::::::::::::::::::::: .:
�
,
, ::.
�
, . .
. . ....... . ..... . ..........::............................:........................:: :.:.:.::
:::�� ��
........:.............................................................................................. .......
.:.:.:.:.:.:.:.:.:.::.:.:.:.:.:.;:.:.:.:.:.:.:.:.:.:.:.::.:.:.:.:.:...:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.: ..:.:.:.
,, ::�:�:�:�:�:�:�:�:�:�:�:�:�:�:�:�.�.::�.�.. .........:::.......................................................:.. ............................ ... :..........
, . �' ir :�.:: <.:. . �.......
..... .�
�
� �::�:::::: : :: :�: :�:�:�:�:�:�:�:�:..:....:...............:::::.:.:.:.:.... . . .
. . .. ......................................................................:.:.:.:.:.:.:.:.:.:.:.:.:.:.:. :.:.:... .. .......
. . ..�ZONE A..•.�.�.�.�.�.�. ....,.,,,.............---�
� �. >: :�;>:�:� � ��� .�. . . .�.�. . :.•.�.�. .�.�.�.,�,.�.,�.•.�.�.�:�:�;:�>:, . ..
... . . . . . . . . . .. . . . . . . . ... .. ... . . ..�. .•.•.•.�.•.•.•..•.•.•.• •. .•.•.•.�.•. . . .........,. .
'�_.:;>.:::.,:.....;:::..:_.;..::::::::......::....:......:::..:....:>.:..s.:....,.:..::..:.,:;:.,.:,.::.. ....::::..::., _:
�\'.::.:.:.:.:::.:.:.:.:.:.:>.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.'.'.'.'.':;:.:�:�:�:�:�:;:�:�:�:•:•., . II "" II :.
��:.•;.:.;.;:;:.:.::::::::.:.:.::::>:;:.:;>:;:;:;:;:;:::::;::::;:;:::;::;:.:.;:.;:;:;:;:..:�.. � � // .
$ I�, � �
. . .. . . . . . . . . . .. . . . . . . . .. . . .'.'.'.'.'.'.'.'.'.'.'!.'. .'. .. . . . . . . . . . . ..' ' '. . ,�
\\ .......'.'.'. .'.'.'.'.'.'.'.'. .'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.. . . . . 1.:.'.'. -.
II � ,'
.'.'.'.'.'.'.'.'. .'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'. .'.'.'.'.'.'.'.'.'.'.'.'. . . .'.'.'/.
•. �I I
3 �
i
;j. :
: �•
r �
:;,;';���' /�
' \� �:
�''�'.�>:�:�:�. . . . . . . / , :.•'•'��?:���::::'�:':'::::'''.�'•`''..::5.;`':.�:.:.�::`�.?::.'..�i:'>.`•.':`'.�•�:'.%�:'<�:���...'.:.:'>:`''�.�:.:..:{':`�`:'''';:�:':'':C�:C<���:?{.'?<•:�'
.. .
� :C�.�.�.�.��.f,:��.,�'�.�':.i:�.�??.'..i>i.�}?,.•.i,�})}:�.'}.{..(.j)?' . . . / .
/ .•.•.•:�}.•>).•:!�. :•i:�: . . . I ,. ..•:•?:�:•:�:•:•}}i}i:!•:{{•}:•}}y,:}:::{f:>}}'':':';':':';{':'}}}}:{{.:.:•:::.:{:::'i:':':':<!':';':':';';{.}}X{{.: :.::'.!':':'}»»i�
/ � :�:>:!�. . . .���'� , . . . . ..:'` . . . . :.: i:•:•??'::.';:�: : . . ... . . . . . . . :�`. . .,...:. . . . . . . .�>'�'�'�. . .•. . . . .,. . . . . ..,. . . . ..�.�.�.�. . . .�.�.�,�.�.� . . . . : . . . . ..........� .�. .�. .�'.'.:," . . . . : .
� �
�a�3 ql3l�
SAWYER COUNTY CERTIFIED SURVEY MpP Np
LEGEI.ID : -(0
��
� 9ET �4�� % 24�� �.P. WT. �,\3lOS�FT. �
O�
Q 6ET 1�� x 30�� \.P. WT. \.f.OLBS�FT. \\.ff G�� n��
�f'
v e \
I 4`��,Q`,�`;'r v .� '`° +.\\a \ _
p' '. 1
�,/ ,e j � N lo.
, P�, eo'„•,o" m \ �Om
Z •6 ' 04 �.r� D
2• . 6�
�..n �° `5 Z �'�� � p p A
W u c4 ,is�� o SV �y.�0 <Z
V� ��i'` .e°�fs''� ~iiv,�q• S -1r�
N " ``' S• 4 `��
m � �.e eie4i,_ ��
SB�03 1S ��•,t! "p0 ENgE� OS..w �
/�' Fo. I.v, SETENT ONI/�
FO. \.P.6ET OY� Sj��� �� R,P!1!n[sN z �
R. PETE0.5oN � D
Z 2D0 400 �
p�£ Q� Nz°
� p � O SGALE: \"=ZOo' -{
�N� n o yE
�91r � - ��
D N'�
p�� A �`.� CORNE0. OF =
L� GOV. LOr Z mr I
N p SECT�ow� L3 e ister's 011ice p ������u�n�l r����� tl� I
1�I 5 T 4o N 0.4 �Q �v'i 5 61��,.�1gCONSr'� Z
Q� FO. \.P. SET e�'awycrCounly }� ��� Jv���'�����i PI
R. PET�RSON �
Reccivcd lor recmd the��3�doy oL .
°r nD� 3sb' a//��o'��at f LVLEL. � ��
0 ,�t�.-- � � eu�.orr
� Y1 ne1�ecorded In voL �i� t.�,.; :�
N ol ¢�.� ou PaOe 3/ _
t �P-:.�:�w, b� e
' ; ,��,. ^,
Repister'%���� �
�iTRVEYOR'S CERTIFICATE �'.;;�(j����-���`,`
�E �'�inr,�innnJ
C, LYLE ELLIOTT, registered land surveyor� hereby certify that by the direction of M,
t1tCIT1I, I have surveyed and mapped the land parcel which is represented by this Certified
3urvey Map:
'hat the exterior boundary oS the land parcel surveyed and mapped is described as follows:
1 part of Government Lot 2'�and part of the Southwest Quarter of the Northeast'�quarter, Section �
'-3, Tot�rnship !i0 �iorth� Rar�e 9 L•Jest, Toarn of Bass Lake, County of Sawyer� State of lJisconsin
�nd more particularly described as follows:
;ommencing at the Southwest Corner of said Government Lot 2; thence along the Y7est Line of
>aid Government Lot 2 N 0° 33' 35" E 374•99 Teet to an iron pipe on the North right—of—w�y
�f a Road being the point of Beginning;
thence alor� said right—of—way S 58� 37� �" W 11�.81aSeet�to an iron pipe;
thence N 0° 3�' 35" E 95•07 feet to an iron pipe;
thence N 67° O1� 15�' E �79.28 feet to an iron pipe on the shore of Grindstone Lake; •
thence alor� said shore on a meander line S 32� 41� 35" E 131.89 feet to an iron pipe;
thence S 67° O1� 15" W 502.18 Seet to an iron pipe on the North rightrof—way of said Road;
thence a].or� said right—of—aay 1; 32° 1�2� 05�� Y7 119.14 �^et to an iron pipe;
thence continuing on said risht—of—way S 67� 00� 55" l9 117.65 feet to the point of
eginnir�; said parccl contains 2.04 acres, more or less, including all lands betwcen said
eander iine and the waters edge of Grindstone Lake, an ub�ect to y, easement f record.
hst I hnve fully canplied r2th the provisions �
f Chapter 23�--34 of the Wisconain revisod �
tatutes in surveyir� snd mappir� same. � nd surveyor
i�' onsin egistration S-13�
• e: June 3, 19�
7^ /3—83��
Cbctits�d Suc�N �U � �
��.� �auNL,�. �O �� �/A
Parcel I
Part of Government Lot Two (2) and the Southwest Quarter of the Northeast Quarter
(SW'kNE'/a), Section Twenty-three (23), Township Forty (40) North, Range Nine (9) West,
described as Lot Two (2) as recorded in Volume Nine (9) of Certified Survey Maps, page 318,
Survey No. 2003; AND Lot One (1) as recorded in Volume Eight (8) of Certified Survey
Maps;page 153, Siiivey No. 1653.
Parcel II
The Southwest Quazter of the Northeast Quarter (SW'/aNE�/a), Section Twenty-three (23),
Township Forty (40) North, Range Nine (9) West, EXCEPT that part lying East of a line
described as follows: Commencing at the Southwest corner of Government Lot 2 Section 23,
Township 40 North, Range 9 West; thence N00°33'35"E, 374.99 feet to an iron pipe; thence
S67°00'S5"W, 109.09 feet; thence N00°33'35"E, 632.58 feet; thence N30°26'S0"W, to the
North line of Government Lot 2.
Together with a non-exclusive easement for ingress and egress as shown on Certified Survey
Maps referred to herein.
. .. ��'1J�Iif#' .
!
....;_:_�~' .. .
� '
�►4L 636 PG 269 , . ,
State Bar of Wisconsin Form 2 — 1982 .
=� 2 6 8 510 WARRANTY DEED . '
DOCUMENT NO. ��� S ��
Sawyrer Cowty ��
Recei ed for record thls � aay ot
_J��A D 19 �at �o'Gock
JOHN W. WALLIN, As Trustee of the John W. Wallin A1 and recorded as vol. ��;3�
Trust , dated August 25 , 1992 , as _to an undivided o<�`7'J rds on paqe c���- �G 9
� interest • and John W. Wallin, divorced and not ���;�� `1������,��
since remarried; as to an undivided � interest* q�;�
conveys and warrants to DAVID R. HOLMES and VIRGINIA M.
HOLMES , husband and wife , as ioint tenants , not p��y
residents of the State of Wisconsin
THIS SPACE RESERVEO FOR RECOFDING DATA
NAME AND RETURN ADDRESS
� P n �B
the following described real estate in � Saw�er
County, State of Wisconsin:
*as to Parcel I ; John W. Wallin, divorced and not ,ry�� i
since remarried , as to Parcel II p�2_g[,p_23 13QJ� ; 5202 & 5207
d 2 940 23 13u
(Parcel Identi6cation Number)
SEE REVERSE SIDE FOR LEGAL DESCRIPTION.
1�11�1�1�GR
� /05� �D
FEE
This is not homestead property.
�43� (is not)
Exception co warranties: easements , exceptions , restrictions and reservations of record .
Dated this
��� day of �! L�/I'I e , 19 98.
� �
(SEAL) �—o, 1���� (SEAL)
: As Trustee of the John W. Wallin Trust
� and as an individual
(SEAL) (SEAL)
•
s
AUTHENTICATION ACKNOWLEDGMENT
��� � 5 STATE OF WISCONSIN
Signature(s) /' ss.
�� . �c C� k 'J: cc 4 � 1
County.
aµ`` '�t,,,u .e 19�_ Personally came before me this _ day of �
suthenticated t ' � of ' , �9____ the above named
C.�r - --- ---
. i`G � 1 ` ---
TITLE: EMBER STATE BAR OF WISCONSI __
(If not, who executed the
authorized by §706.06, Wis. Stats.) to me known to be the person
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY -- -- "
Attorne Michael A. Kelsey * _________________________. .
Notary Public — County, \Uis•
State Bar No . 01013300 --------- ---
__------- — - _-------
-- -
(Signatures may be authenticated or acknowledged. t�e not , My commission is permanent- (If not, stace expirauon a�e:
G 2 � --. �9 .�
necessary.) �i�� � 3 6 P ------- _----- _
•Names of{xaons signing in any capaciry should be tY{xd o� Printed below their signawres.
STATE BAR OF W�SCONSIN Wisconsin Le9al Blank Co . ����:
rt,i:. � ,4, , w
WANNANTV DF:F.D I f11tM N�. 1 . �'�H'