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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> TOWN OF 1,,iA3hPEE i10.00 <br /> ----------- ----------------------- ------------------------------- ......................................... <br /> (city or town) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name and address of Nonprofit Organization: <br /> ......MASHPK --iY04 0R.I.U--.POST...#5489......Y.Y&W.w. ................................................................ <br /> •----•.F-•-0...... QX..-20?,------k AUPEE,.---k�kA02649..................................................._................... <br /> Evidence of Qualification for Permit: <br /> , <br /> �i <br /> XX (a) Veterans' organization chartered by the Congress of the United States or included in clause (12) <br /> of section five of chapter forty of the General Laws; or, <br /> ❑ (b) Church or reli;;ious organization; or, <br /> ❑ (e) Fraternal or fraternal benefit society; or, <br /> ❑ (d) Educational or charitable organizat.ion; or, <br /> ❑ (e) Civic or service club or organization; or, <br /> ❑ (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br /> nonprofit purposes, no part of the net earnin,:s of which inures to the benefit of any member or <br /> shareholder. <br /> Officers or members of or„anizatiou responsible for operation of raffle or bazaar: <br /> i <br /> Name Residence Address <br /> (1) CAPPAVIACK--RD•. ---MASH PEE .+IA. 02649 <br /> (2) -..S t.,.-�IQ.';' COI,,11 APdDER• FREDERICK PETERS RTE 103 ,�iASHPEE,i�tA. 02549 <br /> .....-..� . ........ ...........L_...... ....... <br /> (s) -:!UARTE�i!1ASZER...0.111-3-- ....FRY E-- ............34...AUTUNIN DR. IASHPEE M....._.02649 <br /> uses to which net proceeds will be applied: -_--.Y_eterans---building---fund--------------------------------------------- <br /> -----•------•----- -- --•---•--•-•------------------_.------------------•--•-----•----•-•-•---------------•-..........---•--------••-•----•---------.................------................ <br /> -------- <br /> • .... ----- --.cam—r.... •--•--•-----•----------------•- <br /> ture of authorized officer o member of organization) <br /> Application certified to he in <br /> conformity with C. 810, Acts <br /> of 1969: <br /> itc Town Clerk <br /> 1. <br /> PERMIT (ISSUED) (DENIED) <br /> ��•_. 1 ,_�";� 4 y 5� ._ The applicant (is) (is not) qualified to ope e raffles and j <br /> (date) b��.z-tars under the provisions of C. 810, A is o 969: <br /> City/Town Clerk G1/�J�rl <br /> •Chief of Police�..r ........ --- ; <br /> -v' <br />