Village Rental Application  W230 S9185 Nevins Street      Permit Number: _______________  Big Bend, WI 53103                      Deposit: _______________  Phone: 262.662.2747         Police Department Notified: _______________  Fax: 262.662.3751                             

Name of Applicant/Event Contact:              Address:                    Phone #: (    )      Contact Phone # during Event: (  Date of Use:              Number of Persons Attending Event:      Description of Event:                                                   



























































                        Applicant            Date      ______________________________      __________________  Village Official            Date Filed    The  undersigned  hereby  acknowledges  that  there  MAY  be  charges  made  in  association  with  this  application. If Village property is damaged, stolen, lost or otherwise harmed, the applicant will  be billed  for the actual costs of replacement/repair. 

  Rental Fee: ________   $20.00/per hour          Total Fees Due Village: $  






Village Rental Application.pdf

Name of Applicant/Event Contact: Address: Phone #: ( ) Contact Phone # during Event: ( ). Date of Use: Time: to. Number of Persons Attending Event:.

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