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Please complete this form after you have submitted your application through DocuSign.
On or before January 31st
A late fee of 25% (per month) on top of the original fee will be assessed.
** If late more than 3 months you will need to come into the Health Department Office to pay.
** If late more than 3 months will need to come into the Health Department Office to pay.
Online payments are processed by Forte. A fee of 2.5% or $1.50 (whichever is greater) will be assessed for all credit card payments. Electronic Checks are also accepted, and will be assessed a flat $1.25 for any payment under $50,000. The appropriate fee will be added to the total cost of your payment.
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