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Town of Mashpee Town Clerk <br /> F 'r 16 Great Neck Road North <br /> • �:' 2. I9 Mashpee MA 02649 <br /> Phone#508-539-1400 ext 561 <br /> Fax#508-539-2892 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> `S.1ULL Cv" <br /> BUSINESS CERTIFICATE CHECKLIST /�C� <br /> Business Name MIA TJ <br /> YISk Q- ',� Qc EdQ: / e <br /> Owner Name Cp�o [Qi-) a6 L ®over <br /> Business Address c �j 0n-e da nrl <br /> Residential Address One tda . 0 <br /> Business Phone # 5Q&—q�)-S4[ -;�3 Home Phone # - 7 <br /> • In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: <br /> Building Inspector &( �Z��JJ� <br /> Signature Date <br /> Board of Health z/a� a� <br /> Signature Dat <br /> Assessor Q j ( d'/a, P <br /> Signat re - Date <br /> Tax Collector �_ � �0 <br /> Signature (/ v Date <br /> MAP BLOCK `s- D <br /> §nz-t. Authority to Deny or Revoke:Cause. Any board,officer,committee or department may deny any application for or <br /> revoke or suspend any local license,or permit,including renewals and transfers,for any person,corporation or business enterprise <br /> • who has neglected or refused ro pay any local taxes,fees assessments,betterments or any other municipal charges,or with respect to <br /> any activity,event or other matter which is subject of such license or permit and which acc[vmy,event or matter is carried otic or <br /> exercised otr is to be carried out or exercised on or about any real estate whose owner has neglected or refused to pay any local <br /> taxes,fees,assessments,betterments or any ocher municipal charges. Hieto : Amended o-6 ATM Article 24,approved by Attorney <br /> General on[-0-008 <br />