Business Office/L&R
116 State Street Montpelier, Vermont 05620-2901 (802) 828-2436 (802) 828-3831 FAX
If you have any questions concerning this application, please contact the Agency at (802)
828-2436.
Please remit payment to:
&
Vermont Agency of Agriculture, Food
Markets
L&R
Business Office
116 State Street
Montpelier, VT 05620-2901
****TURN OVER AND COMPLETE BOTH SIDES***
The State of Vermont is an Equal Opportunity / Affirmative Action Employer and Provider