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PLC:

a0072s

Agency:

city of buffalo city

For:

permits

Phone:

608-248-2262

Address:

245 east 10th street
buffalo city, wisconsin 54662

*Required Field

Payment Information

Building Permit application must be submitted and approved before paying.

*Name:

Middle:

*Last:

*Building Permit Address:

*City:

*State:

*Zip:

*Phone Number:

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

Building Permit Number:

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: