REQUESTORS NAME*

IN CASE OF AN ESTATE SALE - FIRM, GROUP, CORPORATION OR ORGANIZATION CONDUCTING SALE

SALE LOCATION ADDRESS*

CONTACT NAME*

ADDRESS *

PHONE #*

EMAIL*

ARE YOU THE PROPERTY OWNER*

YES

NO

IF NO, PLEASE LIST THE PROPERTY OWNERS INFORMATION BELOW

NAME OF PROPERTY OWNER

ADDRESS

PHONE NUMBER

# OF DAYS (NOT MORE THAN 2)*

1

2

SALE DATE(S)*

This permit is issued with the understanding that the applicant will comply with all rules and regulations set forth in the City’s Code Article II; Sec 10-21 through section 10-26, covering garage sales, etc.

As recipient of this permit, I agree to take any measures needed to prevent respondents to my garage sale advertisement from blocking the right-of-way of public streets in front of or next to the property.

EMAIL ALL SUPPORTING DOCUMENTS TO DEPUTYCOURTCLERK@CITYOFBLACKJACK.COM

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FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS AREA

DATE APPROVED ______________________ APPROVED BY __________________