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WAIVER OF SPECIAL ASSESSMENT NOTICES AND
HEARING UNDER SECTION 66.0703, WISCONSIN STATUTES
The undersigned, owner of property benefited by the following improvements to be made by
the City of Oshkosh, Winnebago County, State of Wisconsin, to wit:
In consideration of the construction of said improvements by the City of Oshkosh, Wisconsin, I
hereby admit that such public improvement will benefit said property and consent to the
levying of special assessments against the premises under Section 66.0703 of the Wisconsin
Statutes for the cost of such improvements. In accordance with Section 66.0703 of the
Wisconsin Statutes, I hereby waive all special assessment notices and hearings required by
Section 66.0703 of the Wisconsin Statutes; and I further agree and admit that the benefit of my
property from the construction of such improvements is in proportion to the footage thereof:
City Contract: 23-07 Water Main Replacement Various Locations
Description of Premises
Parcel No.: 90611630600
Owner: 965 South Green Bay Road LLC
Address: 420 S Koeller Street
Water Main Area Assessment 9,676.90 Sq. feet @ $0.7399/Sq. ft.=$7,159.94
New 11/4' Water Service (1) @ $4,713.78EA=$4,713.78
12% Engineering=$565.65
8" New Storm Lateral (1) @ $18,615.20 @50% cost per each=$9,307.60
12% Engineering=$1,116.91
8" Sanitary Lateral Relay (1) 6,335.00 @ 50% cost for /EA=$3,167.50
12% Engineering=$380.10
Signature of Owner
Representative: Chris Winter
Date
TOTAL:$26,411.48
I:\Engineering\2021- 2030 Contracts\2023 CONTRACTS\23-07 Wtr Mn Repl\Special Assessments- Page 1 of 1
Waivers\420 S Koeller Special Assessment Waiver Form- CSM 8064.doc