Laserfiche WebLink
• <br />THE COMMONWEALTH OF MASSACHUSETTS <br />FEE <br />i(11k�l op _ 1Y\ A <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 <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 />❑ (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 Residence Address <br />(1> L�{nht.o C�,'� c�S 45S CauLLC1 A� (V�cwh e�YY <br />(2) <br />Uses to which net proceeds will be applied: <br />Application certified to be in <br />confo ity with . 8 0 Acts <br />of 196 <br />City/Tow lerk <br />(ISSUED) <br />City/Town <br />The Applicant (is) (is not) qualified to operate raffles and <br />bazaars under the provisions of C. 810, Acts of 1969: <br />OVER <br />FORM 810 REV. 12/81 H&W HOBBSA WARREN TN <br />