211 Walnut Street, P.O. Box 426, Neenah, WI 54957-0426 Phone: (920)886-6100 Fax: (920)886-6109
Christmas Tree Lot Permit Date:
__________________________________________
Applicant Name:
__________________________________________
Applicant’s Date of Birth:
__________________________________________
Applicant Address:
__________________________________________ __________________________________________
Applicant phone number:
__________________________________________
Location of Stand:
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I certify that I have no delinquent taxes, assessments or other claims in whole or part owed to the City nor any delinquent forfeiture resulting from a violation of any City Ordinance.
Signature
Date
Christmas Tree Lot Permits are $25.00 each.
Return to:
City Clerk Neenah City Hall 211 Walnut Street P.O. Box 426 Neenah, WI 54957-0426
F:\CLERK\WPDATA\Licenses\Generic License\Xmas Tree\Xmas App.doc
F:\CLERK\WPDATA\Licenses\Generic License\Xmas Tree\Xmas App.doc