HomeMy WebLinkAbout20739 BLDG (New Duplex) 4
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
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Address /�0 -- /�D . �� _
Owner's Name '
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Name of Subdivision
Lot # / / Bldg. Permit # � �73 9
No. of Units �
Fee Requi red �00� O �
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Fee Paid �o� •Ov
Owner's signature ..tv'� Date /0 D ¢�_
Inspector's signature � Date /� i� �9r D _
Parks Subdivision
Improvement
Accts. Rec. : 362-041
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GATE �O Cl �v �
NAME ( �—'�oo- ,e .��T"� �JVy, �>r- �ODRESS s
LOT �� BLCC�C 'dakD
S UBO I'd. /��.�����,� t- ZCN E ,�
STREET NO.I�"l�� .-`....P; :�:��'���i��� S�OT �i,�ENS i GraS
SIDEWALK EXISTING YES � �C
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BUI !DING GRADE ELtVATIONS STAKES ScT AT �IT� ��- �� , 19���Y ;
F E E: $.�8-r9�9°
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�E°A�T'"E`JT OF �UBL i C 'NCRKS �/�
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I , the undersigned, owner or agent oi the aocve descrioec property agree ro have rne
grade estaoiished befora excavation has commencad .
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Q�J''.`�:?3 �2g �
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