The following statutes affect this form: s. 82.14, Wis. stats. Whereas, upon [application made or resolution of the town board adopted], the supervisors of the Town of ________, ________ County, Wisconsin, have decided to [lay out or alter or discontinue] a highway [describe highway accurately, as in the order], which highway as [laid out or altered or discontinued] passes through the following described lands owned by ________ ________, a party hereto: [describe land];
It is agreed by the supervisors of the Town of ________, ________ County, Wisconsin, and ________ ________ [landowner], that that the town shall pay the sum of $________ to ________ ________ [landowner] as compensation for damages sustained by ________ ________ [landowner], by reason of the [laying out or altering or discontinuing] of the highway, which sum ________ ________ [landowner] agrees to accept as full compensation for such damages.
In consideration of the sum of $________, receipt of which is acknowledged, ________ ________ [landowner] releases the Town of ________, ________ County, Wisconsin, from all claims for damages sustained or to be sustained by ________ ________ [landowner] by reason of the [laying out or altering or discontinuing] of the above-described highway through the above-described lands.
Dated this ______ day of ________, 20__.
[Signature of owner]
[Signatures of town board]
Attest: [Signature of town clerk]
