Name of applicant I person (s) conducting garage sale

________________________________________________

Address / location of garage / yard sale

________________________________________________

Date (s) sale will be held

______________________________________________

Is applicant owner of the premises? Yes ___  No ____

Do you have consent of owner to conduct sale?

Yes ___  No ___

State date of any garage / yard sale held within the last

twelve months _____________________________________

Signature of applicant _________________________________

Date __________

*****************************************************************

Date application received ____________

Permit granted Yes ____  No ____

Issued by ______________

Remittance amount _________