HomeMy WebLinkAboutLegal Ad Authorization UPDATED (2)1625 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: ______________________________