FILED___________ INITIALS_________ FIRE_____________ CHRISTMAS TREE LICENSE PPTAX ___________ Type: 127 Fee: $50.00/Season Type: 128 Fee: $40.00/Deposit* yes/no (*not required if established business & is current on PP Tax) Expires: January 3, _______ (Chapter 13.10- City of Kenosha, Code of General Ordinances) No license shall be issued except upon the approval of the Fire Department. 1. Applicant's Name:_________________________________Residence:______________________________ 2. Trade Name:___________________________________Mailing Address: ___________________________ 3. Phone:_________________________Email:___________________________________________________ (correspondence will be via email if address is given) 4. Lot Location:_________________________________Owner: ________________________District#_____ READ CAREFULLY BEFORE SIGNING: The Mayor may cancel or revoke any license if, in his opinion, any of the provisions of Chapter 13.10 of the Code of General Ordinances have been violated. Applicant's Signature:_______________________________________________ Date:__________________ (Individual/Agent of Corporation) City of Kenosha, 625 52nd St. Room 105, Kenosha, Wisconsin 53140 | T: 262.653.4020 | Email: clerk@kenosha.org | www.kenosha.org
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