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Town of Mashpee Town Clerk <br /> 16 Crreat Neck Road North <br /> � . r <br /> Mashpee MA 02649 <br /> • '� <br /> 'rr^„ : Phone # 508-539-1418 <br /> i `' Fax# 508-539-1428 <br /> e-mail address: ddami@mashpeema.gov <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business Name: B l.t 4o- / C t ja "7Ler--S _ <br /> Owner Name: ( nQ ld 1A. C /1,On 5 <br /> -zx <br /> Business Address a c(C2 S19n)(f,�? / l <br /> Residential Address: I5 a O 115 Tt'C 1 klr <br /> Duz,zQvdS 6 aw i)1A • D uqa- <br /> Business Phone #: 774-,313-- DaIk Home Phone # 50$-5 3c) — e 7qq <br /> The Town is desirous of going "Green" as much as possible. To that end, if you would <br /> include your email address, we will email your renewal notice when the time comes. <br /> Email Address: rst n5 15a p Com cas < ✓ ,e <br /> In order to obtain a Business Certificate in the Town of Mashpee you <br /> must obtain prior approval from the following offices: <br /> • �fh+tc�.V ✓r�'1 r(iL-/207 <br /> Building Inspector: (/,k4/1 � 0/�7 . -6 er/aru( Zf0" <br /> —Signature q mate <br /> Board of Health: <br /> j S gna ure a e <br /> Fire Department: <br /> Signature <br /> Assessor: � at ��, Nle h <br /> a e <br /> Tax Collector: <br /> fg a e <br /> 911 Coordinator: — <br /> Signature Date <br /> MAP qq BLOCK _ 67 <br /> Mashpee Town Code §112-1. Authority to Deny or Revoke: Cause. Any board,officer, committee or department <br /> may deny any application for or revoke or suspend any local license,or permit, including renewals and transfers, for any <br /> person, corporation or business enterprise who has neglected or refused to pay any local taxes,fees assessments, <br /> betterments or any other municipal charges, or with respect to any activity, event or other matter which is subject of such <br /> license or permit and which activity, event or matter is carried out or exercised otr is to be carried out or exercised on or about <br /> any real estate whose owner has neglected or refused to pay any local taxes, fees, assessments, betterments or any other <br /> municipal charges. History' Amended 1-6-1997 ATM Article 24 approved by Attorney General on 3-9.1998 <br />