HomeMy WebLinkAbout0106029-Building
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
6979
Name GARRY H DECKER
Address
3220-3226 ISAAC LN
Create Date 07/01/2003
Lot
Block
Ward
Subdivision
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
07/01/2003
Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
3220-3226 ISAAC LN
Date 01/13/2004
Name
GARRY H DECKER
Address
1113 OREGON ST
OSHKOSH
WI
54902
Subdivision
Lot
Building Permit Number
0106029
Number of Dwelling Units
4
Number of Structures
Fee Required
$400.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date