Site Plan - Stake out for New Building Online Order Form
 
Company Name: Other:
 
Ordered by: Name:  
  Email:   
  Phone:  
    Please check here if your request is a status update of an existing order.
 
Survey Information: Subdivision:   Other:
  Section: Phase: Part:
 
Lot Number:
Brief Legal:
***If available please fax copy of legal description to 765-742-5271***
Acreage:
Street Address:
City/Town:
Plan #/Name:
Elevation:
Hand of House:   Left     None    Right
Fireplace:   Yes     No
 
When Ready: Call  
  Fax  
  Deliver   (downtown Lafayette)
  Mail  (enter mailing address here)

 
Special Instructions/Requirements