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PAISLEY PINES <br /> ALLISON DERRICK <br /> 5155 GRANDWOOD PL W <br /> LACROSSE, W1 54601 <br /> ` WISCONSIN DEPARTMENT OF AGRICULTURE, <br /> TRADE AND CONSUMER PROTECTION <br /> Id <br /> 'it�\�iay <br /> License, Permit or Registration <br /> ^.e pe,sort firm or corporation shown bekm has comphedwrth the Wisconsin statutes and is authonZed to engage in the aet"indKated <br /> ACTIVITY EXPIRATION DATE LICENSE NUMBER <br /> Tourist Rooming House 6/30/2025 ATCP-011487 <br /> LICENSEE MAILING ADDRESS NOT TRANSFERABLE BUSINESS/ ESTABLISHMENT ADDRESS <br /> ATCP-L2241 1 PAISLEY PINES <br /> PAISLEY PINES 1172 WEST POINTRD <br /> 5155 GRANDWOOD PL W SPOONER,WI 54801 <br /> LACROSSE, WI 54601 <br /> All Permits expire on June 30th; it is the responsibility of the licensee to make sure all applicable fees are received by the <br /> Department before July 1st or a late payment fee well be assessed. <br /> If you do not receive a renewal form prior to June 30th from your licensing authority, you should send in your <br /> payment for renewing your permit to the following address: <br /> WI DATCP <br /> PO Box 93296 <br /> MILWAUKEE, WI 53293-0296 <br /> (608) 224-4720 <br /> ' Include the name of your facility and the ID number. <br />