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HomeMy WebLinkAboutMillersBayApplicationCITY OF OSHKOSH – DEPARTMENT OF PARKS 805 WITZEL AVE, OSHKOSH, WISCONSIN 54902 PHONE: (920) 236-5080 Mooring Application Update 11/2025 2026 MILLERS BAY MOORING APPLICATION STORAGE TYPE (Please check all that apply) ☐ Sailboat Mooring ☐ Catamaran Dock ☐ On-Land Storage ☐ Kayak/Canoe Rack Includes: 1 mooring plug / 1 dinghy rack space Includes: 1 small storage stall Includes:1 large storage stall / 1 parking pass Includes:1 rack slot APPLICANT INFOMRAITON _____________________________________________________________________________________ Name Phone Number Email _____________________________________________________________________________________________ Address City State Zip BOAT INFOMRAITON _____________________________________________________________________________________ Make Color Length width _____________________________________________________________________________________________ DNR Registration Number (if applicable) Exp Date Hull/Serial Number (if applicable) INSURANCE INFOMRAITON _____________________________________________________________________________________ Insurance Carrier Phone Policy Holder’s Full Name _____________________________________________________________________________________________ Address City State Zip _____________________________________________________________________________________________ Insurance Policy Number Exp Date The undersigned hereby affirms that the above information is true and correct and he/she has read, understands, and will abide by the regulations previously provided, and will abide by and conform to all ordinances of the City of Oshkosh. _____________________________________________________________________________________________ Applicant Signature Date ______________________________________________________________________________________________________ FOR OFFICE USE ONLY Storage Facility #(s): Boat Permit #(s): Date Received: Trailer Permit #(s): Approved By: Rack Permit #(s): Fees Paid: