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Town of Mashpee Town Clerk <br /> �. ................!a <br /> > 16 Great Neck Road North <br /> v. Mashpee MA 02649 <br /> " '�' M Phone#508-539-1400 ext. 561 <br /> Fax#508-539-2892 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name <br /> Owner Name Cec C n <br /> Business Address CD k V- Aj rnL� <br /> MM12� r>�a(�D'-4C, <br /> Residential Address 1;��Nrn - <br /> _� 2LcQ M ) ck7oS� <br /> Business Phone # Il FS 1 �aq �i�1�2`J Home Phone # U Bz--)7 1�i1 <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval fro the following offices: <br /> 11 Coordinator <br /> , <br /> � /Signatu >Date 9 <br /> Building Inspector ! l 1 <br /> Signature Date <br /> Board of Health ` / 1 6" <br /> Sign Lure Date <br /> Building Assessor (� 1 <br /> Signature bate <br /> Tax Collector <br /> - Signa Date /� <br /> MAP l I BLOCK ✓( ' <br /> 02-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 to 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 activity,event or matter is carried our 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 /> • axes,fees,assessments,betterments or any other municipal charges. H' ,: Am,snddd -& ATM Article 24approved by Attorney <br /> General on:-4-tool <br />