HomeMy WebLinkAbout15-057 Soul Jam� � �. � ,
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i�k�ward Masonic Lodge,`20 Da'vis Road, South Yarmouth ��T � �� ��115
www.southyarmouthfallmarket.com HEALTH DEPT.
S�M'�l�,C?ctober 3, 10, 17, 24, 31 and November 7, 14, 21 • 10 A.M. to 2 P.M.
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Best way to contact you: � ��� '.���'.`� ¢��" :°.��,r.y �
Name and contact for individual manning your space: {���-���'��!��"�� � � ��,,��€��`.
Please list product(s)you intend to sell:
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The Market accommodates 24 vendors on a first-come first-reserved basis.
Spaces will be assigned by the Market Manager.
All fees payable in advance and as soon as possible to secure your 7'x7' space.
Full Season Fee: Saturdays$140. Per Day: $30 when/if space allows.
By signing this form vendor acknowledges that he/she has read and will comply with the guidelines for
the 2015 South Yarmouth Fall Marke�.------_. � ,
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Applicants Signature�� �-�ad� '�<��. � ��`x.�f�_,� = "`� � � � ���
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Date:
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Return completed application with payment payable to: South Yarmouth Fall Market
Mail to:
South Yarmouth Fall Market
c/o Carlene Veara
� P.O. Box 293
Yarmouth Port, MA 02675-9998
Market Manager: Carlene Veara • Phone: 774-217-1067 •Email: rjvcbv�aol.com
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THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT NUMBER: #15-057 FEE: $50.00
This is to Certify that Rel�ecca BLnce d/I�/a 4oLl am
_ P_O Box .69, Yarmo � hY or�MA
IS HEREBY GRANTED A LICENSE
For NAME OF EVENT: South Yarmouth Fall Market
DATE OF EV NT• a rday hro g�t�N�vember 2.�,., 2015
LOCATION: Howard Masonic Lodge 20 Davis Road South Yarmouth MA
FOOD SERVED: Jams &jellies. Gluten free �ranola breakfasdnrotein bars
' This permit is granted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts,and
expires__November 22,2015 unless sooner suspended or revoked.
October 5,2015 BOARD OF HEALTH: J pfiu�,a 1�C�ll�xtelrCl.�t, ��tl�rl
�J3cw��.l1R.1�., `Uice C.Fftacvcrrtart
Eue�cJxt J.
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; Bruce G. Murp , H, R.S., CHO
j Director of Hea th
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