CHRISTMAS TREE LICENSE - City of Kenosha, Wisconsin

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