STATE OF WISCONSIN
Town of ________
________ County
Application having been properly filed by ________ ________, of ______________ [insert mailing address], for a license to maintain and operate a manufactured and mobile home community at ______________ [legal description] in the Town of ________, ________ County, Wisconsin, and it appearing that the plans and specifications comply with all applicable town ordinances, statutes, and rules of the State of Wisconsin and that the town board has approved the application and that all work on the park has been completed according to the plans, and the applicant having paid the required fee of $ ________ [not less than $25 nor more than $100 per year for each 50 spaces or fraction thereof within the town limits];
A manufactured and mobile home community license is issued to ________ ________, of ______________, to maintain and operate a manufactured and mobile home community at the place above described for the term of one year from the date hereof.
Dated this ______ day of ________, 20__.
[Signature of town clerk]
