Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br />FEE <br />fI1sr�P�� <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 />Evidence of Qualification for Permit: <br />❑ (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 religious organization; or, <br />11 <br />c) Fraternal or fraternal benefit society; or, <br />10 (d) Educational or charitable organization; 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 earnings of which inures to the benefit of any member or <br />shareholder. <br />Officers or members of organization responsible for operation of raffle or bazaar: <br />Name <br />Residence Address <br />v)T nl Fi�tme�'i.rr rna zSSC <br />(2) '7Ff0/h/15 OiJ�r c -L 447 <br />(3) W16u0u GASc t Y N �/kme rr/s <(uY N <br />Uses to which net proceeds will be applied: <br />Application certified to be in <br />conformity with C. 810, Acts <br />of 1969: <br />own Clerk <br />PERMI (ISSUED) <br />dt' Zeo <br />Z <br />) <br />,,,Y, rown Clerk <br />• <br />FORM 810 Rm 12/81 ft&W HOBBsB WARREN <br />The Applicant (is) (is not) qualified to operate raffles and <br />bazaars under the provisions of C. 810, Acts of 1969: <br />:��Ozr &dactrd 4 '. I <br />Ch f of Police `/ <br />OVER <br />