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2. Date*
   Date
3. Have you held a rummage / garage sale within the past 12 months?

   1. Yes
   2. No
5. If yes, how many?
6. Number of homes*
8. Permit Fee (Paid in advance) Homes at $5.00 each equals to*
9. HOA Representative Name*
11. Service Address*
12. Phone Number*
14. Email*
15. Sale Start and End Date*
    Sale Start and End Date Start Date

    —

    Sale Start and End Date End Date

17. I hereby acknowledge that the above is correct, and agree to conform to the City of Lake Mary Code of Ordinances, Chapter 113.02 governing RUMMAGE SALES. I agree to have the authorization from the City available for inspection on the day(s) of the rummage sale at the location stated above.

19. Signature*

    Type in your name as it appears on your driver's license. Your name constitutes acknowledgment of all the terms and conditions listed on this page, and that the information provided is true.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field