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Town of Mashpee Town Clerk <br /> �F, to�rN pr <br /> 16 Great Neck Road North <br /> Mashpce MA 02649 <br /> • �! m Phone# 508-539-1400 ext. 561 <br /> l = .� '� `' Fax#508-539-2892 <br /> e-mail address TownClerk ci.mash ee.ma.us <br /> �1UhL Cp.. <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name hp�q CAM From fbrw <br /> Owner Name ��� 11/1. �I0.ce <br /> Business Address ?o ar 7 10 <br /> Residential Addressyj \ oven <br /> Business Phone # Pn 3791 Home Phone # 1c6iQ 477 ?Soy <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 &V <br /> Sic �6&V <br /> Signa lure Date <br /> Board of Health �l"!, �/�pOP- <br /> "Si ature - Date <br /> Assessor <br /> nature Date p� <br /> Tax Collector 3 l bd <br /> SiSn re Date <br /> MAP BLOCK _ <br /> §rig-r. 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 encerPrlse <br /> —ho has neglected or refused co pay any local taxes,fees assessments.betterments or any other municipal charges,or with respect co <br /> • any ac"' tv.event or ocher macer which is subjocc of such liunse or Permit and which activity,event or mazttr is carried our or <br /> exerc,sed otr is to be carried out or excre,sed on or about any real estate whose owner has neglected or refused to pay any local <br /> taxes.fees.aasesaua nm..betterments or any other municipal charges. N' Am d d -6 ATM Ardcle x approved bv Attomv <br /> General ma n-ioa8 <br />