Town of Blowing Rock

Modular News Rack Application

 

Department of Planning and Inspections

PO Box 47, Blowing Rock,  North Carolina  28605

 Phone 828-295-5240      Fax  828-295-5202

www.townofblowingrock.com

 

Publication Information

Publication Name_______________________________________________________________

Publisher_____________________________________ Phone ___________________________

How often is your publication issued? _______________________________________________

Type of Publication:        □  Free Publication      □  Coin-Operated

Contact Information

Name_________________________________________________________________________

Street_________________________________________________________________________

City_________________________________State_________________Zip_________________

Phone_______________________________Email____________________________________

Mailing Address________________________________________________________________

 

Location Request

Please check which locations you are requesting and indicate the number of cabinets requested. Note that this request does not guarantee placement of space(s) requested.

 

Location                                  Total Available           Number of Cabinets Requested

  Memorial Park                    6 Coin / 4 Free             ___________________________

  Gossip Park             6 Coin / 4 Free             ___________________________

  Post Office                         6 Coin / 4 Free             ___________________________

 

Applicant Signature________________________________________  Date ______________

 

Fee:  Coin-Operated Spaces = $100.00/year          Free Publication Spaces = $50.00/year

OFFICE USE ONLY

 

 

Date App. Received___________   Date Paid___________   Amount Paid___________  Ck# ___________