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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 /> .' Fax#508-539-0954 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> + C�. <br /> �nuLi c°' BUSINESS CERTIFICATE CHECKLIST <br /> Business Name C' �Q " 4 <br /> Owner Name 1 d, <br /> Business Address <br /> Residential Address (�0(79 <br /> Business Phone # � W Home Phone # C <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: c <br /> Wilding Inspector ;3`0 ! <br /> S gnature Date _ <br /> Board of Health I/, -i ' O <br /> Signature Date <br /> Assessor CQ &'t 61� (3�d <br /> SignaRre D to <br /> Tax Collector <br /> igna Date <br /> ---911-Coordinator --� �► <br /> Signatu!re (� Dae <br /> MAP d I BLOCK <br /> §113-1. Authority to Deny or Revoke:Cause. Arty 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 out or exercised on or about any real estate whose owner has neglected or refused to pay any local <br /> axe <br /> fees,assessments,betterments or any other mm�icipal charges. H' Amended -6- g,ATMA 1 s approved b Attorney <br /> _ <br /> e <br />