The URL can be used to link to this page

Home My WebLink About026-938-07-5619-LUP-1994-081 Application for Land Use Permit �! � • County •of Sawyer o The undersigned hereby rnakes application Eor. a Land Use Permit and agrees th�it � � a11 work shall be done in compliance with the r.equirements of the Sawyer County o Zoning Ordinance and the laws and regulations of the State of Wisconsin. '-+� PRINT - USE BLACK INK OR PENCIL I l.� ��1 1,.�"•..`��!�-� �l (�,J KN�3w.-.l �� ._�,_._ n � �«� '�.4-�� • SC ��,-� C'�C.1�-�1�.�:.,�"'...�. Owner Builder �. � R ��`iT�"'' /�/9 l..i4 �/�$ -� �!i�j :J�_. �`� Mailing Address Mailing Address �� tii .s�s-y� l ..... .S7'�� ,��dNy �'L / City, State , Zip City, State , Zip r o Bui ding Land Use Zone District ° (�New ( ) Filling � � ( ) Addition ( ) Dredging Lot size �o?S �( S 7 S � � ( ) Alteration ( ) Grading � ( ) Moving On ( ) Acres /. (� �.� � — ( ) ( ) � � � New Construction �� (r1 '�� .� Size ,,Z `� ft wide �' wide �_ ' wide �� f t long �_' long � ' long ,�`J � i �� r Floor area 8��` s ft _� s ft � q q ; sq ft � J� � �, s Total hgt %3� to peak � ' hgt ' hgt x' � �� Stories � No . of Bedrooms ��' S-ssoad.��.�a---�c A- ��-� waterline o (year round) or (seasonal) ( G rt Type of Bldg , Addition, Use � � p�. o ( ) Dwe 11 ing -7S �' `� (✓Y Garage (�) (2 car �S �• ( ) Storage Bui ing `� ( ) Boathouse �� -- � � � ( ) Livingroom 2y` 3�' ( ) Bedroom F-s� - � � S_ � ( j Kitchen-Dining �%�;�:� o � r � � ( ) Porch (enclosed) (roofed) � .-, ( ) Deck - open c-,.`�9�` � � � � V 1 F � ) xs' v Type of Construction l� `S' ,(ya ys�: �" ; ` ( � Frame ( ) Block � �' ( ) Log ( ) Concrete U � F�~ ( ) Pole ( ) Steel ' �-�'� � ( ) ( ) Pole/Metal ,� � �;; _ � -- --- - - Constructzon Cost $ 7�-��— ��► � __ ._ _- o��t ti,� y � �` .�1� Vol � Pg _� of Deed . � ,� a � H CS VO1 ��!- Pg � ,b � w � y�s Cer . Soil Test �- ( (p ; .s1:� �� Sanitary Permit -- �� road ~ � L -------------- z �`, �-��.��:'i�� -��E �'.�� r ;ti�a�.� , � � ��RN�- � � in�y,r�/ <9_9 v i: 3��V�r s;��a�z=�l , . Issued 06 May 1994 Denied '�� jy —OK W� �, � , .;;, � > ! i � �t�t I�— —�-�vz� � Owner Zoning Administra�tor OF SAN D LAKE � C. 7 TWP38N. R.9W. � __._,-_�_ -_ __ ._ _- _ __ S ISSABAGAMA LAKE � �r^ �4.1 � �� "___--�- � i � � � � �6.17 � :s.2 \�� 6.15 \ � :2.4 � ' �s.Is � 1 :1.2 � // e 9 � r =6�22 7 � �� O �1.3 � \6.14 � :6a9 s �2.3 ��--� � 5\ O � \ � ,1.2 \ � 3 � .1.3 �� 6.1 \ 0 . 0 a . =C25 .1.4 �� -� 4 =6.3 '2•5 `` �6.12 �6.2 6.21 � . , � :22 � � 6•2 :6 4 . :s.io :6.9 �2.I -� =6.8 ..,:b. .- � � � � �3.3 �6.11 �3.4 �6. �, I :s.is �3.6 :6.7 , �3.5 � �.�3 siss . �6.6 � � i q�� c �� 2� �3.1 � �9 � � q� � F 5.I � � � \� 1 �3. .5.2 ` �----� I `' -`�� - �-- I � -� .6.2 7 3 ^ 3.02 O .7.4 .7.2 i .6.I � � � � �^ I f NGG j�'E [(�" 1 I 93.9Q� L!"1/I L s. 71.J2� �• � b s/sS. � �� -- ,a�' 1 - i� �� "" � N\ � 3i ` � � w �i' ' " o� .� N � rZ � 1 n�` i/ , � Jii z,,,�s� ��. '�� N'��f �_ ` �� < 1 i��1 ��- � 1 ��,s' ` Z ` �'��'45'E �30 `� 9s. \ ,ytB � h\N, \'P. � ` � $\w. \ LA�� ° ,9. � 1 9,�, , �� \ cS/S5'A�AC�AMA o S1s `�•• �8 \ " � 1 ,3� ° �z 3� aq �\� N 9 � y �\-��ca 0 4� \\ ��i, � �o i7:� ` ol , .- � y\\ ,:� q - ' I� g"` �_� � •�, � ` S11•Za rl p �\ y`� °h° I O �'G \ 3 h 6 0 0 a\c� \�o , a o � °� 1 v` I `\W \\ \� � ` �, C � \ ��,,r, CoI.�S 9s-ri\ 25 \\ � � a-f ,� a o ,A5 I I 3`,= �, 0 . y � �ptc P/ns'`rY `- . ab 5 �. � �_ �� . -L 9C.39� :�' 4 �}• ��'d di ' L- 0� �s" � ' 'Fi�-- �'I29e ,o�ao'� �15,•y.y �� BCALE: /"�=/OOFEET `�� -Y� s'p � h s 6�'� Q /RON �S7"AffE PLAOED �� c. •�` � '�'u. by .✓.E.Cew.vtG '�is'r ; ,`,`,`,�u��ii�� Ga.iG..'�'e �C�'1� �. i�� S�c 7 38-9 '4y +,,,�� ,►�i ♦ '�� ,.. ... s � �AOBERT H.'� ��' SVV.�oaB�� • HAi'�tAAD. r �/� ♦ '. r d,, ,�..�.`Y� _•. .,� a 0� �(�2 z 7 � l t 7 �� ,Y''''NH�N'''� � ,'I c�^ /'� r�-D'�� 1�� -' _ � W � � �e� z�,�:� ct�, �?o .� � �¢. �11 ��•-��ti.. ) - Pa�e 1 of 2 ?'a�e s ��:y�,�fi�ci Surve� No. ` � �- � ' -�. f I, Robert R. Swanson, Registered Lar.d Surveyor, hereby certify that in fu11 campliance with the provisions of Chapter 236.34 of the i�isconsin Statutes, and under the direction of Steven Friendshuh, owner of said 1_and, I hav� surveyed, divid- ed and mapped the land herein described and that such map correctly represents the exterior boundaries and divisi.on of the land surveyed and that this l.and is located in Gov �t Lot 6, Secti on 7, Totanship 3�i North, Ran�;e 9 [dest, Town of Sar.d Lake, Sawyer �ounty, Wisconsin describ ed as f ollows : Commencing at the Plortheast Corner of Gov't Lot6, Section 7-38-9 : Thence North 86°3o T ;°Jest 15!�. 2 f eet to an iron pipe on the shore of Lake Sissab a�ama: Ther.ce South 71°00 ' West 36 .3� ' (feet ) to an iron pipe on the m�ander line of Lai�e Sissahagama: Thence North 77°21 'I�5" '3est 297.h1a- �'eet alang the meander line to an iron pipe: Ther.ce North 1��°2l��3p'r West 222.69 feet alon� the meander line to an iron pipe: Thence Pdorth 26��.1 '15'� W�s� 3.22 feet; alon� the meander line to an i.ron Pipe i•rhich is the point-of-be�inning: �'hence South 57�57 �15" ��1est 550.L�.0 feet to an iron pipe. Thence North 61°59 ' 30" West 11Z�.Za_3 feet to an iron pipe. Thence North 11°00 ' L,Test �16.91 f'eet to ar. iron pipe on the meander line of Lake Sissabagama. Thence North 67°53� West 201.65 feet along the meander line to an iron pipe. Thence North 10°15' '�1est 1?2.61� feet alor.g the meander line to an iron pipe. 93•9B f eet Thence North 66°34' East to an iron �ipe. Thence South 25°35'15" East 271.00 feet to an iron pipe. 138.32 feet Thence North 58°36 �1_�5" East to an �ron pipe o3� the meander line of Lal�e Sissabagama. Thence South 29°23'1�.5" East 200 .71 feet alon� the meand�r line . to an iron pipe. Thence South 26°I�1 '15" East 1�0. 39 feet alon�; the meander line to an i.ron pipe wl�ich � s the P. O.B. ar.d including all the land between the meander line and the �arcel lines extended. Also sub ject to ar.d together �aith joint use of the nroposed road shotian on th.e map to the Town Road. Parcels are also subject to easements ar.d reservations of record � � � � � � ' Regi,ters Otfioo 1 }� Sav�yer County, � pa��e 7 Received for record tlie f -`�.�7�--day of "' �{1a.��.4` A D 19'�u:jj;5s'u'c1ocY � �_I�I nnd recorded in vol. �-f� � of�, .t�,,,�v,-e�,_on p�7e.1�=_��"� -.__._�_�..� ��r.�.� �l� /�(fd.'� � „ ------ J y.:'Y _ _ ,�,.�„_„I � . � C ��'\?,��`�J r�i . ��f � , .�i APR 2 ,2 1,994 � = ��..___ ........_________ '�► � �� ,-� ; ; ,.,�._, , ��A 4'� • R �:,.�,�:l ZONING ADMii�iiSTRAT,��' , � - �� j�'��-c.-c.Z �rn �a Z�,.,a�� '° � � / J V� _ I �u-�� ..��% �.� -G��.-:..� ��-.-� --�_� �-� � -- � �� ;�-�� a-,--�._- .� � ��--�- �� -��--�_ �- � � , ——— -Qti'- � �� ✓'�`� � � .r'J�` /)�`�a-�--:1. �'-� -- �-�.�, y � � �� .�.� � � � � ; �:�.�.� c:�� , 4:�`- �:�.� - 7� - s_��.r _- -- ---- ---- --- -- - �-.�� I � � � ' �� - -- --- � � , DEPARTMENT OF � APPUCATION �'3 SAFETY& BUIL'�INGS� INDUSTRY, FOR SANITARY DIVISFONU' LABOR AND PERMIT P.O. BOX 74n90 HUMAN RELATIONS (PLB 67) MADISON,WI 53707� Attach plans for the system on paper not less than 8Yz x 11 inches in size. Inciude a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by <3 Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy rnust be included. _ Pr rt Owner: Mailing Address: ' L � S�'�,�'z � �c� � �' lS ��'ry ss y� Property Location: 6i�y--1fi+�e�e-er Township: County: „ _ '/4 /U '/4S i T N i R -�{e�r) W :c� �i��C7 ,Gri� Lot Nu ber: Bik No.: Subdivision Na e: Nearest Road, Lake or Landmark: State Plan I.D.Numb�r: � L/� S'� ss� �s . �, (If assigned)p,/��S Z /J !�7 J TYPE OF BUILDING Number of ❑ Public� ❑ Variance� ❑ Other (specify)� Bedrooms: � 1 or 2 Family �State Approval Required. T TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GAL�ONS OF TANKS CONCRETE PLACE INSTALLATION MENT (.�pecify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY �[} LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED ISquare feetl: ❑ New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (lf other than present owner�: � � Private ❑ Joint ❑ Public I,the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Si re� MP/MP�IY� Phone Number: a /�,�,�' � � /L L� ^ � /11��Sh'� `i � ��b�S�/�/ Plumber's Address: Na e of Designer: � I c .5 S o<� � �' Ja C s�`S7( .. `� ..�� ,t� /� COUNTY/DEPARTMENT USE ONLY CST 77- 196 Sign e of Issuing Agent: Fee: Date: �X qppROVED Sanitary Permit Number: $95 . 00 4-25- 85 ❑ DISAPPROVED 65091 Reason for Disa roval; . Alternate course(s)of Action Avaiiable: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county pri��r to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Ptumber DILHR-SBD-6398 (R.07/81) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BI.ILDINGS LA30R & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS D�VISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 � _ ❑CONVENTIONAL ❑ALTERNATIVE s�a�ePia�io N�mbe� u�a�s�q��i �Holding Tank ❑ In-Ground Pressure ❑Mound NA OF PEHMIT HOLGER�. qp�JF1E5S OF PE MIT HOLDER� INSPECTION DATE�. 1 S i �-000 C (� 1 S'I -1'8S B CH MAR (Permanent referen�c po��t)DESCRIBE IF DIFFERENT FHOM PLAN�. REf.PT.ELEV.: C5T REF.PT ELEV. � Cor n ��i l �n - /� rac� I�O Name ol Plurnt�e�. MPffyW-Itle�+ .Cou�ty. $anitary Perm��Number�. ob S 88 �aw r s -o i 65 S�P�fci�fE/HOLDING TANK: MANUFACTURER�. LI�UID CAPACITV TANK INLET ELEV. TANK OUTLET ELEV. IYARNING LABEL LOCKING COVER PROVIDED�. PR1�OV,I�DED �� .00O wI . 8 �ES ❑NO I[�J'ES ❑NO BEDDING VENT DI1. VENT MATL lil(�F{L^J�TEfi NUMBER OF ROAD�. PROPEHT�' WELL o'vILUIf�G '��VT TO FRESH n n�Aa"� FEET FROM / ��"E^� / �'^/ \ , aia ir��eT , ' __JYES ❑NO � CZ • YES ❑NO NEAREST �O p+O �XJ dS 7 � S �-- DOSING CHAMBER: MANUFACTUHFR BEDDING t IC)Ulf)CAPACITY PUM!'M1�(J,^��'� PU"�1P.SIPFION h1A'JUFACT�iHEH '::ARNING lABE� LOCKING COVER PFOVIDED�. PROVIDED ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO ��ALLONS PER CYCLE: aunnPallocoNTao�soPERa.riorvn�� NUMBER OF P�n�'E�aT� WF.LL BUI�DING lEfVTTOFRESH )IFFERENCE BETWEEN FEET FROM ��"� ��R�N�ET UMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of piowing �eNcrH uian�erev� :��aTER��An,o naaHK�r,, or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: 141DTH LENGTVI NO OF UISTR PIPF 57ACING COVER INSIUE C)li1 =PITS LIOUID BED/TRENCH raErvcNEs n,iarERin� P�T oEaTri DIMENSIJNS C�RAVEL DEVTN FILL DEPiH [)iSTH PIPE IJISTH PIPF DISTR.PIPE MATEFIAL NO DISTR NUMBER OF P�j��PE�TV IVELL 9UILDIN(i '�:EVT TO FRESH ee�owPiaes asovecoveH e�.=v in,�t r E�Ev �eNo P�aes FEET FROM ,��"� aia iN�er _ � NEAREST—� �_ MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOILCOVER TExr�»e PEHa::.vrn�T�.�a�KFws oEistravaTio�un:��_�s LJYES ❑NO ❑YES CNO DEPTH OVER TRENCH fiED ()EPTI{p`�GR TRENCH.BED UEPTH OF TOPSOIL SODUED SEEDED ".�ULCHED CENTEH E=DCES ❑YES ❑NO ❑YES ❑NO CYES DNO i PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH W�DTH L[NGT�1 TREONCHES LATEHAL SPACING GRAVEL DEPTH BELOIN PIPf FILL DEPTH qgOVE COVER DIMENSIONS MANIFOLD PUMP MANIFpLD DISTR.PIPE MANIFOLD MATERIAL �:O DISTR DISTR.PIPE DISTHIE3U710N PIVE"r1ATtRIAL&':1.>HKING ELEV.. ELEV. DIA ELEV PIPES DIA.'. ELEVATION AND DISTRIBUTION INFORMATION "o�e s�zE �o�e sr�ncirvc o�iueo coaaccr�v covea Mnleaia� vearica�uFrcoHr��saoNos ro aPP�oveo v�arvs ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENTMARKERS�. OBSERVATIONWELLS�. NUMBEROF PROPERTY WELL BUILDING�. FEET FROM �_i"E ❑YES ❑NO ❑YES ❑NO NEAREST i � Sketch System on Retain in county file for audit. Reverse Side. SIGN T iR � TITI E I DILHRSBD67101R.01/82) SST- 0.h ��r(�n' L�. l�he p�-�va-t d nve c,Ua I o _ � O • U, `�r� � � �, �, � �a ��✓ � � 1 = �`�' ,� � �' ^ � s� �� G � � � � P N � Lo-� L.�►,e. i,i , i � DOCUMENT NO, STATE BAR OF lVISCOtJSIN--- F URt4 1 ' I WAHRANTY DF.Ell TVIIS SPA�E RESERVCD F�C�R ftE(:c�RVING GRt• , ,' 1 � 355 � � - � � -------- I - --- _ l ' . - � Reaird�r'e nfHce � � ' � ----- , ---- • - � - — --- ii S�h 1�,r .•ni��,�T ` I This Deed ��,aa� b�tW�er� __ .�'�EVETT__.�1�. FRI E�1DSHtTI�, . i !i• ��v��i tor r��cord the �� c1, oi --------�--------------- -----a - sin�le---�Px�o�------------------------ --- --- ---�-- I� ��., �2�j�Y,�* __ --------------------_------- ------ - ------ ---- --- -- -- �. �__ .� i� 1� -- � - -- -------- ----- - ;; _ , �, �.�-��,� � _�.yl_ --- � , a �� . ..-'----------------•-------------- - ---- -------- - -- - . Cp ' I :,i I1�.-.��.,i,` .n f��clao _�n <<,�a--- - ------------------,RAZ,P_H--S.IRB�T--a.nci--�Y:tI�'�iZA--��-=-L�r - � -------_------�-h.�asbanc�_.and ivif.e..as..---oint...te_nante i! ---�-=.�uzc�_��.` - - --- --- �- -�.- - ----- ----&---no-t_ as---tenants._in__c�il�iu.�z�__�;�.�th_ !; �„�;�`� _. --�- -�---.._ . ._- --...- - -�....... ........t1Le--.�it,;h�. '�.._...ci•:,T�tc�:, ;;I l' L�rcxi+r - .... ._of_.�urviv.c�.r.sli_1� W1tI7eSS2t�1, That the said Grantor, for a valuable cons�derfltion____ ! ....One-..do-1-1a�-�zzne?---a�l�e��-zFaluczLle--�o�4zt�er�:tioiz, !i ,- ,:-- � ,-- - _ -�- I, corive��s to Grnntee the following described real estate in __,�. 3Yi�_8.T'__. . ___._ ! kETUNN ,o�,I�h .�/,�jj�c.'� County, Stnte of Wisconsin: I� y��C�C' JY)(jCct.�QS f��-dJI,� �- - -- m�h��ca�1�S �_ir�lL�. Tax Ke�� No. - --------- �--- --- -� --... � That part of Goverrvnent Lot F , Section 7, Torrnship 38 Ilorth , Han:;e 9 '�leat, more �;�artict�larl� �escribed as Lot 7 of I��wne 4 of Certifiec� Survey �:�aps �74�, Pages 139 — recorcieci in the office of the Re�iste.r of Deed� iii and for Sa�,Tyer County, VJisconsin, subjec�t to a road easeiuent presently eYistin� over and ucross Lot 7 for in�ress and e�ress to said Lot 7 from tlie existin�; to�n road. Subject �o restriction:; , reservation� and eaeer,:ents of records , if any. �,:��e�t� �,�%I •��-,�� This ...__ls nOt homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenauces thcreunto belongiug; And------------ ------•-•-••----------------------------------------- -- - -- -- -- �-- - -- - - -- - - -- - -- - ------- -- � - �varrants that the title is good, indefeasible in fee simple nnd free nnd clear of encumhrauces except tuid will wnrrflnt And defend the same. Dated tl�is -------._J_u1y---15-r--1�$2-- --- d<�y �r -------- - ---- --- - - -_-- - -�- --- ---..__, is___.... -- - --�--- --- -- -- ----------------•----------------- ----- --(SEAL> _ �- -. _ -- -- --- -� �--- -cs�:Ar.� .� , Steven /1. Priendsliu}i ---- --------�---------------------------------------------------- ---- ------ ----...... ---- _ -- -- --...-----�-- ---------------------------------•-----------•------ -----------.(SEAL) ---- -- - ----- _ �- - - -- --�----•----- �---._(SEAL) * w . ...-----"--------....---•-----'--------••--•-----'----"--- -...... ....._..--- --�--'...................................... AUTHENTICATION ACKNOWLEDC3MENT Signatures autlienticated this _______..._.__ day of S'PA1'E OP' �4'�� , .- ------------------�-----------------------� 19------- M/�t/�1/��r-7t} ss. ._.._.<-�.c.'T %-_--_- ----Countv. ` . � -- -- -- ---�- ---- --- ---- ------------------- --- ------ - -- - Personally canie before me, th�s _-�..�_--___d.�y of ,:: - '��v....��-L��.�'. the r�bo�•e named - -- ------- - - - - -- - -- - -- ------ ----- -------- --- ----- ---- - 1'ITL�: n4Eh1BER STATE F3AR OF �'VISCONSIN --�-- - -� - -- ---- ---- ----------- ---- - -- (If not� --- -- �-- --------------- --�-- ----- - ------ - - - --- --- -------........ ---- -----._ - -._- - authorized by § 706.06, Wis. Stats.) - �-- -- ... __ -- - - -- -- --•--- --�---- . _... . --- -. .. - - - -- - - �- �------ . ..._. THIB INSTRUMENT WAS DRAFTED BY �p ��7C �IIOR'll t0 �JC t�1C }lCPS011 .__._.. � , who executed the S t e V e Il .�. 1'T 1 e riC�S�lU�l foregoin�; instrument and acknowledge ti,e same. 1 . .. . ----. .. .- � - . � --- - _ .... � 16450 11nna Trail Prior Lake , I�finn. ;-�` � �'r-�_: , . .. . _ . . - - - - - - * ��Y. � ' - ;- --- .-- - � «�, - � �<t<<�! ., (Si�;natures maY be authenticnted or acknowledged. T3oth Not.iry I'uLlic _.:".��.�'=-77-_. _Count�•, lYi�/�'��, su•e not necessary.) DIy Conimission ` perm:u�ent. (If not, state ex}�irxtii�n date: _C�'eT i ._ _ _ _., l9 :�� .) _ _.� _ _- - - - -- _� _. _ , � �f{�)��. q n . �NHI11P4 of pereonu aiKninR in anY �4,��ryiv vh�jfll��e t1�Ped�rint�+ l��t,hcir ei�naturcv.r,Y � � � D N1�. � � �� A v ` � urnRltAN'C"7 7)f?l�;I) STA7'I? T3AR OF WI9C(1NAIN . ,� �Ci�:con�lii Le�'nl I11Hnk. G'.�I.�,