Greenhouse applications
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Town of Clay
  Project: GREEN           COMMUNITY GREENHOUSE
                   GREENHOUSE located at
         9604 Black Creek Road Brewerton, NY 13029
            PLEASE NOTE MAILING ADDRESS BELOW
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             GREENHOUSE REQUEST APPLICATION
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 NAME__________________________________________________________
                 COMPLETE ADDRESS w/ ZIP CODE
  ______________________________________________________________
___________________________________________________________________
         PHONE_________________________________________
   Email _____________________________________________________
    ****Please return with SIGNED GREEHOUSE WAIVER to:
                         Town of Clay
                     Att: Chrissy Clancy
                        4401 Route 31
                       Clay, NY 13041
                   (315) 652-3800 ext 137