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2. First Name
3. Last Name
5. Proposed Business Location (in Bayfield County)
7. City
8. State
10. Email Address *
12. Phone Number*
14. Type of License needed:

    1. Retail Food Establishment
    2. Restaurant Food Establishment
    3. Hotel/Motel
    4. Tourist Rooming House (Short term rental or Vacation Rental)
    5. Bed and Breakfast
    6. Campground
    7. Pool
    8. Rec/Ed Camp (ie, Childrens Camp, Recreational Camp)
    9. Tatoo or Body Piercing Establishment
16. Other (describe)
18. Questions

    If you have additional questions please list them here.  One of our Environmental Health Staff will contact you based on the location of where your proposed business is located.

    
    

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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field