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Town of Mashpee Town Clerk <br /> oio, <br /> • 04 9J, 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> M <br /> Phone#508-539-1400 ext. 561 <br /> W ' Fax#508-539-2892 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> ..ULL C <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name /ate/epl1� Self. II S /Ir/ Gyo/K-5ew�lu� <br /> Owner Name dgaiCye 14 , t-1 do,,`c%C <br /> Business Address A/3 M% L,� S SO0 !5- v�tW /fP <br /> as �e Ga Y� <br /> Residential Address ) /,3 pT f;) <br /> Business Phone # �77L/-5,2/ ome Phone it <br /> S'V8q <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from t ollowing offices: <br /> Building Inspector <br /> Signature nn- Date - l <br /> Board of Health �/ I t-a` <br /> Siiggnnature Date <br /> Assessor C. � Od�albe <br /> Sign re Daatt1e—� <br /> Tax Collector _ iqn <br /> Si natur - Date <br /> MAP _ BLOCK O <br /> §lt'L-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 out or <br /> exercised otr is to be carried our 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 other municipal charges. H' t : Amended -6- y ATM A t le 2 v d by Att Y <br /> General on%-o-mob <br />