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Town dMashpee lbwn Clerk <br /> F,COWN <br /> 16(creat Nee]c Road North <br /> % <br /> v/ Mashpee MA 02649 <br /> W <br /> Phone#508-539-1400 eat. 561 <br /> Fax#508-539-0954 <br /> e-mail address TownClerk®ci.ma ftee maus <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name LIUS+a Ch 15, pC �et�—Sa <br /> Owner NameV-- �2izA2�S <br /> Business Address 4 ;g (4oa 4-A Sr ree'E CZ-MA"PS 102100 <br /> QAyyft -- l r S NaL D� St, CLv+� , MA- 33 <br /> Residential Address Po Bo- 1 II-A <br /> E. O2LE.ra.rJS M P.-- 0 2b 43 <br /> Business Phone ". Home Phone # )fig .t22 —LkLkZ3 <br /> In order—to 6btain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: <br /> • 911 Coordinator _ V1nC 1� 1 22 I is <br /> Date <br /> Building Inspector �. Q —� �,�I/a <br /> urs /-� Dae <br /> 77001-6— <br /> Board of Health <br /> Si lure Date <br /> 9 Assessor 2��n /, � /(�t}YNQ, 3),?q I ` 010 <br /> Signature Date <br /> Tax Collectorj6 _ C Z.-�y\ <br /> Signature Date <br /> MAP — BLOCK 24E:) <br /> §u2-s. Authority to Deny or Rovokc Cause. Any 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 our is to be carried out or exercised on or about any real estate whose owner has neglected or refused to pay any local <br /> taxes,fees,assessments,betterments or any other municipal charges. lihimm Amended t.64 .ATM.Ardete a< ",,,,d kyAttotuav <br /> • Genmlen tb-tooB <br /> �J. <br />