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Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> wF <br /> Phone#508-539-1400 ext. 561 <br /> Fax#508-539-0954 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name -��►tV <br /> Owner Name <br /> Business Address <br /> Ai�'c <br /> Residential Address ," `,/_ <br /> Business Phone # `S'D $-3 9-,2 7 ej— 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 1/017 j <br /> Signa Date <br /> ALO011 <br /> �> 1 <br /> Building Inspector � �. -7/4-7-4,1. <br /> c �`4SkPcc <br /> g�ignature Date 066wr <br /> Board of Health C� ((J . 74 L 9 <br /> Sign lure - Date <br /> Building Assessor A / r) � <br /> Signature ate <br /> Tax Collector <br /> nature Date <br /> MAP _ BLOCK i i 3G <br /> §u3-r. Authority to Deny or Revoke:Cause. Any board,officer,committee or department may deny any application for or <br /> revolve or sus Pend 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 assessmcnts,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 /> zerci,cd utr 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' <br /> fees,assessments,betterments or any other municipal charges. History, A nded -G-� ATM Areiele 1q a�ooreved by Attorney <br /> aI <br /> o -' 8 <br />