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HomeMy WebLinkAboutLegal Ad Authorization UPDATED1625 MASSACHUSETTS AVENUE • LEXINGTON, MASSACHUSETTS 02420 Town of Lexington Board of Appeals Ralph D. Clifford, Chair Jeanne K. Krieger Norman P. Cohen Tel: (781) 698-4534 Nyles N. Barnert Martha C. Wood DATE: ______________ TO: GateHouse Media New England/Community Newspaper Company LEGAL NOTICE DEPARTMENT The applicant shall be responsible to pay the cost of publishing public notices of any hearing in a newspaper. GateHouse Media will contact the applicant (or name listed on the form) by phone call to initiate payment. If payment is not made in time for the postings, your application will be delayed to a later Hearing date depending on payment being made. Please provide payment as soon as possible to avoid a delay in your application being heard. I HEREBY AUTHORIZE GateHouse Media New England/Community Newspaper Company to bill me directly for the legal notice published twice in the Lexington Minuteman for a public hearing with the Lexington Zoning Board of Appeals regarding property at: ___________________ SIGNATURE: _____________________ Please print where to send the bill to: Name: _____________________________________ Street Address: _________________ City/Town: _________ Zip Code: ________ State: ________ Day-time Phone Number: _______________ Email Address: ______________________________