Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br />• �d <br />(cityity ��%� <br />townown� <br />• <br />FEE <br />APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br />(C. 810, ACTS OF 1969) <br />Name and address of Nonprofit <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 />JK (b) Church or religious organization; or, <br />❑ (c) Fraternal or fraternal benefit society; or, <br />❑ (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 />(1) p. i% <br />(2) Ad1)/2 S <br />(3) e <br />Uses to which net proceeds will be applied: <br />Application certified to be in <br />conformity with C. 810, Acts <br />of 1969: rN <br />City/Town Cle P <br />PERMIT (ISSUED) i✓'4M <br />Residence Address <br />FORM BIO REV, 12/91 H&W HOBBsB WARREN'm <br />The Applicant (is) (is not) qualified to operate raffles and <br />bazaars under the provisions of C. 810, Acts of 1969: <br />Chief o ice <br />OVER <br />`f / <br />