Xmas App

211 Walnut Street, P.O. Box 426, Neenah, WI 54957-0426 Phone: (920)886-6100 Fax: (920)886-6109 Christmas Tree Lot Permi...

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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:

__________________________________________

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