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Fire Department Contact FormKevin Poirier2024-06-21T13:05:26-05:00

Contact information update form

If you are updating the mailing address of the property for official, you will also need to call the Kenosha County Land Information office at 262-653-2622.

Building Owner's Contact Form

Business Name(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone(Required)

Business Email(Required)

Business Owner's Name(Required)

Business Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Owner's Phone(Required)

Business Owner's Email(Required)

Building Owner's Name

Building Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building Owner's Phone

Building Owner's Email

Site Manager Name

First Last

Site Manager Phone

Site Manager Email

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact Email(Required)

Is the building equipped with a Knox key box?(Required)

Yes

No

If no, would you like more information on adding a Knox rapid entry key box?

Yes

No

If yes, have any of the locks been re-keyed or new areas secured with new locks?

Yes

No

Has the business type or occupancy changed in the last 12 months?(Required)

Yes

No

If yes, what type of business is now operating?

Has the Building undergone any major renovation or modifications in the last 12 months?(Required)

Yes

No

Have any building permits been issued by the Village of Somers for this location in the last 12 months?(Required)

Yes

No

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Email

This field is for validation purposes and should be left unchanged.

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Street Address: 7511 – 12th Street, Kenosha, WI 53144 | Mailing Address: P.O. Box 197, Somers, WI 53171

P: (262) 859-2822 | F: (262) 859-2331

©2023 Village and Town of Somers. All Rights Reserved.