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Town of Mashpee Town Clerk <br /> 04 ,1 16 Great Neck Road North <br /> v;: .. "'°''•,9 <br /> Mashpee MA 02649 <br /> w r t M Phone#508-539-1400 ext. 561 <br /> M <br /> , .w .. <br /> f � Fax#508-539-0954 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> 9Ry`S1ilULL COP <br /> BUSINESS CERTIFICATE CHECKLIST / <br /> Business Name <br /> Owner Name ��rDr D L LA-ss <br /> Business Address -77 f1 <br /> / 7't-lrocE NL/{- to 2G yg <br /> Residential Address /, 0, �ayc ��� Z 7 /�?srucr S 1= LOG <br /> �IiYSh-?aei-=F oZcy q <br /> Business Phone # = O Home Phone # s aP • y�y -/goo <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: <br /> �1 Coordinator <br /> Signature Date � <br /> Building Inspectorl 7-a <br /> n ! <br /> Si ture Date <br /> Board of Health O � <br /> S1 lure �Datte <br /> Building Assessor ,11 AM <br /> Signature Date <br /> Tax Collector <br /> Signature Date <br /> MAP BLOCK <br /> §u2-t. Authority to Deny or Revoke:Cause. Any board,officer,committee or department may deny any application for or <br /> revolve 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 /> reised 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 /> es,fees,assessments,betterments or any other municipal charges. Hinerv, Amendcd -6- ATM Article 24approved by Attorney <br /> ral on o-a-,oaB <br />