Gregg A Cleveland

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412 East Fourth Street Marshfield, WI 54449 PHONE (715) 384-3118 FAX (715) 384-8868 Email:mfrd@ci.marshfield.wi.us MARSHFIELD The City in the Center FIRE & RESCUE DEPARTMENT Gregg A. Cleveland Fire Chief Robert P. Haight III Deputy Chief Edwin P. Erickson Deputy Chief TENT PERMIT APPLICATION Facility Name ________________________________________________________________________ Contact Person ______________________________________________________________________ Tent Location _____________________________________________________________________ Date of expected tent erection: _____ / _____ / _____ Date(s) of expected occupancy _____ / _____ / _____ to _____ / _____ / _____ In accordance with the City of Marshfield Municipal Code 5.18, this application is being made to erect a tent with over 1500 square feet area in the City of Marshfield. All tents shall be erected and maintained in accordance with the Wisconsin Department of Commerce Administrative Code, Chapter 62, Subchapter III - Tents FEES Each tent over 1,500 square feet - $25.00 I hereby apply for a tent permit and I acknowledge that the information above is complete and accurate. I further acknowledge that the tent(s) listed under this permit will comply the Wisconsin Department of Commerce Administrative Code, Chapter 62, Subchapter III – Tents. I will contact the Marshfield Fire & Rescue Department if I have any further questions or concerns prior to the issuance of this permit. The Applicant is: Owner Agent _____________________________________ Applicants Signature/Date Revised 6/28/2000

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