ADDRESS OF PRODUCER:_______________________________________________
LOCATION:_____________________________________________________________
TIME:____________________________
In making this application, I agree to abide by the terms,
rules and regulations prescribed by
1. That we assume full responsibility for any damage to the
property of ourselves or others.
2. We
will save harmless the
from any responsibility hereby created.
DATE: ___________________________ SIGNATURE: _______________________
ROAD WILL NOT BE BLOCKED: (Initial) _____________
ROADS WILL BE BLOCKED: (Initial) __________________
LMT POLICE DEPT. APPROVAL: _________________________________________
FEE $ ______________
BY: _______________________________
Revised: 9/4/91
Revised 9 /15/97
Revised 5/29/02**
* No more than 2 times per year.
** PLEASE BE ADVISED THAT SIGNS ARE NOT PERMITTED IN
THE
TOWNSHIP FOR GARAGE SALES.