CITY OF SOMERVILLE
APPLICATION FOR LOADING ZONE
Business #1 ___________________________________________________________________
Address ______________________________________ Phone # _________________________
Contact _______________________________________________________________________
General Use of Business ________________________Total Number of Weekly Deliveries ____
Delivery Days: ____Mon ____Tue ____Wed ____Thu____ Fri____ Sat____
Delivery Times: from ________to ________ Size of Delivery Vehicle: _________________
____________________________________________________
Business #2 ___________________________________________________________________
Address ______________________________________ Phone # _________________________
Contact _______________________________________________________________________
General Use of Business ________________________Total Number of Weekly Deliveries ____
Delivery Days: ____Mon ____Tue ____Wed ____Thu____ Fri____ Sat____
Delivery Times: from ________to ________ Size of Delivery Vehicle: _________________
____________________________________________________
Business #3 ___________________________________________________________________
Address ______________________________________ Phone # _________________________
Contact _______________________________________________________________________
General Use of Business ________________________Total Number of Weekly Deliveries ____
Delivery Days: ____Mon ____Tue ____Wed ____Thu____ Fri____ Sat____
Delivery Times: from ________to ________ Size of Delivery Vehicle: _________________
T&P Form 2A 6-Jan-00