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Town dmubpee Tm Clerk <br /> �t�F.cowry o�1i <br /> o�.,••yy' ,;a.gs� <br /> , Nook�North <br /> Maft#MA <br /> Po50&539-1400 <br /> aR 561 <br /> Fax#508-539411954 <br /> y ' ' e-mail address TownCledr@cLnwApee ma us <br /> ULC <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name FiJ70Hr'd <br /> Owner Name gtli 77 %S <br /> Business Address Mal vJa <br /> Mashoee dA 01G'A9 <br /> —T <br /> Residential Address 6�rcl(47 Ae <br /> 1411de IcarL, /�)A o,�13b <br /> Business Phone# Home Phone# <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> mus obt in prior approval from the following offices: <br /> 911 Coordinator Cid a-3 L6� <br /> Signa re Date 77 <br /> Building Inspector -ZJ <br /> Signature Date <br /> Board of Health tj <br /> Sign a Date <br /> Building Assessor <br /> ignature Date <br /> Tax Collector —. (-)I <br /> Signatu Date <br /> MAP o bBLOCK % <br /> §u2-l. Avdtmity w Deny m Revoke Carse, Any board,officer,committee or department may deny any application for or <br /> revoke or suspend any local license,or permiq including renewal.and transfers,for any person,corporation or business enterprise <br /> who has neglected or refused to pay any Jowl 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 out or <br /> exercised on,is to be untried out or exercised on or about any real estate whose owner has neglected or refused to pay any Ictal <br /> taxes,fees,aasessments,betterments or any other municipal charges. Htss = Amesded Lfilgo ATAL Aetlde 4e.AFFMIRd 1W Agana= <br /> General on r.aeesg <br />