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Town of Mashpee Town Clerk <br /> �� Io�lN <br /> 4 ^... ...... �q 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> ' k Phone#508-539-1400 ext. 561 <br /> Fax#508-539-0954 <br /> e-mail address TownClerk@ci.mashpee.ma.us <br /> 3 BU ESS CERTIFICATE CHECKLIST <br /> Business Name <br /> Owner Name <br /> Business Address zZ 1 -z mo-v717 <br /> /Y/,4'JGfi�EF /1//p 9 <br /> Residential Address 2 L'�&o/ <br /> �✓. �,,,y A?AL o Z�y9 <br /> Business Phone # R) 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 /> Quilding Inspector s--h, <br /> Signature ate, <br /> Board of Health 11L 4 1 T-1 3 • b5 <br /> Signature Date <br /> Building Assessor 01 Se df7 1g <br /> Siig/n re ate <br /> Tax Collector x��_� S ��•L� <br /> Signature Date <br /> 911 Coordinator <br /> -11 <br /> Sig y ure Date <br /> MAPy BLOCK <br /> §ua-t. Authority to Deny or Revoke:Cause. Any board,officer,committee or department may deny any application for or <br /> rewlce or suspend any local license,or permit,including renewals and transfers,for any person,corporation or business enterprise <br /> wlto has neglccted or refused to pay any local taxes,fees assessments,betterments or any other unnoclpal 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 /> ,oxerclsed our is to be carried out or exercised on or about any real estate whose owner has neglccted or refused to pay any local <br /> •nes,fees,assessments.betterments or any other municipal charges. Llirjo, -. Amended r-6-w9v ATM Article 2a aPf, _-d by Attorney <br /> rA on•-o-tnn9 <br />