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—Town of Mashpee Town Clerk <br /> Off. `a4o 9f <br /> 16 Great Neck Road North <br /> • <br /> 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 /> 9�LS�iu�i 66 <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name sr,//5t OAA Gr)fy-aCbl no4 Co <br /> Owner Name k )'LVd'1 P&boI /7 <br /> Business Address Ona 6lrch ( aiA <br /> frlw�hpee, MO Oa(,u9 <br /> Residential Address C)na PJ( rch Le )aiA <br /> M aChpe-I MA Gato49 <br /> Business Phone # 508- 5 001 ome Phone # (a ( r) - r1 5- LA q") <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 <br /> Signature Date <br /> Board of Health r per, , a� &/- -) ,Z) <br /> Signature�^ Date <br /> Assessor C phi~ b 1�Gt7� a <br /> Sig Lure Date <br /> Tax Collector \ ?— <br /> ign ure Date <br /> MAP } Z BLOCK ( _ <br /> §u?-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 lieense,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 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 other municipal charges. H' Amert&d -6-i993,ATM Article 2e�approved by Attorney_ - <br /> General on z-n-ioo8 <br /> I <br />