(ONLY for use by towns authorized to exercise VILLAGE POWERS under
s. 60.22, Wis. stats.)
STATE OF WISCONSIN
Town of ________
________ County
The Town Board of the Town of ________, ________ County, Wisconsin, pursuant to
s. 175.25, Wis. stats. and the town's village powers, issues a Junked Vehicle Permit to ________ ________, the permittee, at ________________ [address], as owner of the real property subject to this permit. This permit, effective on ________ ___, 20__, and terminating on ________ ___, 20__, unless sooner revoked or suspended, authorizes the owner ONLY to accumulate and store up to the following number of junked vehicles, by the following described storage method, at the below-noted real property location: [state vehicle quantity, method for storage, and legal description of real estate subject to this permit].
This permit, as issued, is not transferable and is revocable or can be suspended upon proper complaint and timely service upon the permittee by the Town Board of the Town of ________, after a class 1 notice of a public hearing, under chapter 985, Wis. stats., if the town board determines in writing after the public hearing that the permittee has failed or refused to comply with the appropriate Town of ________ or ________ County ordinances, or applicable state statutes or administrative rules, or has failed or refused to comply with the following specific restrictions or conditions regulating the accumulation and storage of junked vehicles in the Town of ________: [state specific conditions or restrictions].
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
