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PLC:

a004oq

Agency:

brown county planning and land services department

For:

land services

Phone:

920-448-6480

Address:

305 east walnut street,room 320
green bay, wisconsin 54305

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Middle:

*Last:

*Property Address:

*City:

*State:

*Zip:

*Payment Description (Provide Detailed Description):

*Phone:

(### - ### - ####)

*Email:

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Payment Amount :

Subtotal:

$0.00

Total:

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*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

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*Credit/Debit Card:

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

*Expiration Date:

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