HomeMy WebLinkAboutQuik Tan- 12/31/1999COMMONWEALTH OF MASSACHUSETTS
TOWN OF MANSFIELD
BOARD OF HEALTH
SIX PARK ROW, MANSFIELD 02048
TANNING SALON PERMIT
This is to certify that ROBERT APPELL, QUIK TAN
is hereby granted a permit for a TANNING SALON
This permit is granted in conformity with the Statutes and
Ordinances relating thereto, and expires June 30, 2000, unless
sooner suspended or revoked.
Fee: $25.00 plus $5.00 per device = $45.00
Permit Number: 2
Date: July 1, 1999
BOARD OF HEALTH
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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°i of each year.
BUSINESS NAME: { ��� i /�-✓
BUSINESS ADDRESS: kl
TOWN:
STATE: ZIP:
OWNER/OPERATOR
HOURS OF OPERATION: iw� % �-'"T
NO. OF DEVICES:
TYPES OF DEVICES:
TELEPHONE NO.:
FAX NO.:
FED ID/SS NO.: (w-3&:! 9 3 1
PERMIT NO.:
FEE: $25.00 plus $5.00 per unit =
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SIGNATURE ti
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DATE L',
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