HomeMy WebLinkAboutTropic Tans - 12/31/2006COMMONWEALTH OF MASSACHUSETTS
TOWN OF MANSFIELD, BOARD OF HEALTH
SIX PARK ROW, MANSFIELD, MA 02048
TANNING SALON PERMIT
This is to certify that
Karen Colace
Is hereby granted a permit for
TROPIC TANS
This permit is granted in conformity with the Statutes and Ordinances relating
thereto, and expires on June 30, 2007, unless sooner suspended or revoked.
Fee: $25.00 plus $5.00 per device = $45.00
Permit No. 1
BOARD OF HEALTH
Dr. Raymond Martin, Chairman
7--1
TOWN OF MANSFIELD
BOARD OF HEALTH
SIX PARK ROW, MANSFIELD 02048
APPLICATION FOR TANNING SALON
I hereby make application for a TANNING SALON PERMIT, which expires on
June 30"' of each year.
BUSINESS NAME: t7-qw-j
BUSINESS ADDRESS: No, ab, � f)
TOWN:
STATE: IVIY)O zfp:- a'z-'W{}
OWNER/OPERATOR: 1�n,LLn
HOURS OF OPERATION: a)c� r) - f-(- i
10 � 4M
- 4-,A-
* j
NO. OF DEVICES:
' Iso ' -f 172 ve)
lqfK)
5 (!,(rL
TYPES OF DEVICES: r l m nn?
T.- 11o('
TELEPHONE NO.:
FAX NO.: fj
FED ID/SS NO.:
PERMIT NO.:
FEE: $25.00 plus $5.00 per unit = 1-15- 6)(2
SIGNATURE
DATE