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PLC:

a001xr

Agency:

stephenson county department of building and zoning

For:

building permits

Phone:

815-599-0344

Address:

295 west lamm road
freeport, illinois 61032

*Required Field

Payment Information

*Property Owner Name:

Middle:

*Last:

*Payment Types:

*Address where work is being done:

Payment Amount

*Payment Type:

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number: