________ ________, being the owner of real estate within the Town of ________, ________ County, Wisconsin, described in the affidavit below applies to the town board of the town to have a highway laid out to that property, which is landlocked, in accordance with
s. 82.27, Wis. stats.
Affidavit
STATE OF WISCONSIN,
________ County.
________ ________, being first duly sworn, states as follows:
1. The affiant is the owner of real estate within the Town of ________, ________ County, Wisconsin, described as follows: [insert legal description].
2. The above-described real estate is shut out from all public highways by being surrounded on all sides by real estate belonging to other persons [if applicable and water]. The owners of the surrounding real estate are as follows: [name surrounding owners].
3. [I am unable to purchase from any of the above-named owners a right-of-way over their property to a public highway to make a road of sufficient width or I am unable to purchase land on either or both sides of my existing right-of-way, which is ____ feet in width, to make a road of sufficient width to afford reasonable access from the described real estate to the public highway or I am able to purchase from ________ ________ a right-of-way to a public highway, at a price of $________, which is an exorbitant price].
[Signature of affiant]
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature and title of officer]
