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Dunn County Health Department

doh@dunncountywi.gov

3001 US Highway 12 East Suite 032 Menomonie, WI 54751

(715) 232-2388

Section 1 of 3 in this document
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Cost - $100.00 for each Well Drilling Permit Application

Property Owner Name on Application(s)

Would you like to add another Well Drilling Permit Application?

Property Owner Name on Application(s)

Would you like to add another Well Drilling Permit Application?

Property Owner Name on Application(s)

Would you like to add another Well Drilling Permit Application?

4th Property Owner Name on Application(s)

Section 2 of 3 in this document

Payment

Applications will not be processed until payment is received.

Online Credit Payments - Credit Card, Debit Card, Echeck
After you click "Submit" on this form, you will be redirected to an external vendor to complete your payment. Please remember your Total Amount Owed and the Receipt Number provided by this form, as you will need to enter this information on the payment page after Clicking Submit. Note that using the online payment system does not guarantee registration. Additionally, there is a fee for using this service.

Total Amount Owed