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V, <br /> 4`�VS tMdRyd � ',. <br /> TOWN OF LEXINGTON <br /> d SELECTMEN'S OEEICE <br /> APRA.19aH <br /> APPLICATION FOR <br /> ONE-DAY LIQUOR LICENSE <br /> The Board of Selectmen issues one-day liquor licenses to for-profit and non-profit organizations <br /> that serve liquor and charge either a cover charge or for each drink. Please fill in this form <br /> completely and return to the Selectmen's Office along with a check for $25.00 made payable to the <br /> Town of Lexington. <br /> BUSINESS/FUNDRAISING ORGANIZATION ";C. t°OCA i) .�C.rc <br /> CONTACT NAME AND NUMBER: L2 9- `I f ` <br /> ADDRESS FOR MAILING. , d F < 9 r �: ..a ?...• t .. <br /> EMAIL ADDRESS: .: , < . o_0 c `.5 _ Y-1 <br /> TITLE/PURPOSE OF EVENT: F r �. � i r` <br /> i <br /> LOCATION AND ADDRESS: '1A <br /> .. <br /> DATE OF FUNCTION; ,.. .. E. <br /> TIDIES OF FUNCTION: <br /> TYPE OF LIQUOR TO BE SERVED <br /> DATE AND TIME WHEN LIQUOR DELIVERED: <br /> DATE AND TIME WHEN LIQUOR REMOVED: 1 - '.11u <br /> ADDITIONAL INFORMATION: <br /> Author ed Signa p Federal Identification No, or <br /> Social Security Number <br />