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• Towndmahm TOM CWk <br /> �• y 16 Chad Nwk ath <br /> a `aPhone#SM539-1400 ext.561 <br /> •. Fax#508-539-0954 <br /> y e-mail addieae TownCledQuimadweemiLue <br /> BUSINESS C TIFICATE CHECKLIST <br /> Business-Name n I t 1 h l Qcs�},y� <br /> Owner-Name � ,AGE l- J <br /> Business Address VWWV,P1V_CYfIBJAI-4Ar.�CC�/ •CSk'1 <br /> f. c <br /> Residential Addresses <br /> OY 03, . MUM <br /> Business Phone-# 0$.5.319ome.Phone# 9—�� <br /> in order to obtain a Business Certificate in the Town of Mash ee you <br /> must ob7;7 l from the following offices: <br /> • 911 Coordinator <br /> Building Inspector /� Ani Q U Z� <br /> fiaW Date <br /> Board of Health s -1 op y.`, �V anmy� > Sc -K - 0S1 <br /> Signature Date <br /> Building-Assessor � � i ()fl a81 d 9 <br /> Signal p��� dp '� D to <br /> Tax Collector G A(i/Lf � E12S 9 <br /> Signature ry Date <br /> i� <br /> MAP BLOCK FI <br /> §u2-L Au 1wKCy to Deny m Aowke,C tue. Any board,officer,committee or department may deny any application for or <br /> revoke or..pend any local li.,or permit'including renewab and transfer,for any pereon,corporation or huskn.e.relplise <br /> who has neglected or rehucd to pay any local ta-e,fees ae taro,betterments or any other mmdcipal chargee,or with reepect to <br /> any activity,event or other matter which is mbject of ouch Ranee or permit and which activity,event or marmr 4 carried out or <br /> eaerciaed otr h to be carried out tecrzereiaed on or about any real.tate whose owner has neglected or refused m pay any local <br /> taxes,fee,aeeesement0.betrertnenm or any other mwtcipal charges.Mks=Amended ---AM Amato U.gVrammdIn, <br /> General en r.dmt <br /> /r <br />