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Return this form along with payment to City of Kenosha Public Works Park Division Attn Athletics 625 52nd St Room 305 Kenosha WI 53140. Permittee shall immediately report any unsafe conditions to the City of Kenosha Park Division or Police Department. FOR OFFICE USE ONLY Approved by Date Insurance recvd Schedule recvd Rules Regs recvd Deposit/Payment rcvd Copy of permit given Application for Athletic Facility Rental Form PWP005 rev. 11/16 Date Name of Organization If non-profit organization...
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