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PLC:

a001wl

Agency:

village of mukwonago

For:

building permits

Phone:

262-363-6420

Address:

440 river crest court
mukwonago, wisconsin 53149

*Required Field

Payment Information

*Owner's First Name:

Middle:

*Last:

Business Name:

*Property Street Address:

*Contact Phone #:

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

Note:

Payment Amount

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:

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