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Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> Phone#508-539-1400 ext. 561 <br /> I ' Fax#508-539-2892 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> �'lsl iu�i `c° P <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Nameew Qr���cafZ�� �rvKac (_ <br /> Owner Name <br /> Business Address S <br /> Residential address <br /> Business Phone # g-ys1r1-41`1 Home Phone # <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: <br /> �11 Coordinator <br /> Signature Date <br /> Building Inspector 26d&4 f/l -r— S�'z66 <br /> Signature Difte T <br /> Board of Health C Zza '5-1z6 '7 <br /> SignatureTDate <br /> Building Assessor <br /> nature [�c[Ate <br /> Tax Collector <br /> Signa re Date <br /> Z <br /> MAP 0(/10 _ BLOCK <br /> §u2-1. Authority to Deny or Revoke:Cause. Any board.officer,eornmittec or department may deny any appilcadon for or <br /> revoke or suspend any local license,or Permit,including renewals and transfers,for any person.eorpmr.tmn or business enterprise <br /> who has neglected or refused to pay any local u�xes,fees assessments,betterments or any other municipal chargee,m with respect co <br /> any aciivi!y,cveut or rher matter which is subject of such license or permit and whir,6 activity,even,or matter is carried.., 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 anv loan) <br /> axes,fees,assesemenes,bereennen cs or any ocher municipal charges. History: 1\mended=G-� ox ATMA Article za.approvedornev <br /> General on:-onno9 <br /> J <br />