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r l Town of Mashpee Town Clerk <br /> 16 (creat Nock Road North <br /> -,9TXor4, Maahpea.MA02649 <br /> Phone#508-539-1418 <br /> Fax#508-539-1142 <br /> e-mail address: ddami gov <br /> Nstnui-a Gp., <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business/CorporationName: G\A L <br /> Owner Name: CDq-trt4,rw MA1oNr om�c AeGRPAQJ <br /> Business Address: tic{ SwNbc( Vr,,c DV-- 'fh'EasH QJLt <br /> Residential Address: <br /> Business Phone No.: 5nst- I, G6 H D- Home [ ] Cell Phone No. <br /> The Town is desirous of going "Green" as much as possible.To that end, if you would include your email <br /> address, we will email your renewal notice when the time comes. <br /> Email Address: Tr ,,pAcze-+mfDtc-S k1 T \ coM <br /> roorder to obtain a Business Certificate in the Town of Mashpee you must obtain prior approval from the <br /> llowing offices: <br /> Department Head (or Representative) Signature Date of Signature <br /> Assessor: MAN a 19 : 1 0 <br /> ydke�41X!x <br /> [ , b <br /> Treasurer/Collector: 3 <br /> Building Inspector: -S <br /> Board <br /> ' rd of Health: <br /> E911 Coordinator: <br /> Fire Department: U <br /> Mashpee Town Code §112-1. Authority to Deny or Revoke: Cause. Any board, officer, committee or <br /> department may deny any application for or revoke or suspend any local license, or permit, including renewals <br /> and transfers, for any person, corporation or business enterprise who has neglected or refused to pay any local <br /> taxes, fees assessments, betterments or any other municipal charges, or with respect to any activity, event or <br /> Wother matter which is subject of such license or permit and which activity, event or matter is carried out or <br /> xercised or is to be carried out or exercised on or about any real estate whose owner has neglected or refused <br /> o pay any local taxes, fees, assessments, betterments or any other municipal charges. History: Amended 1-6- <br /> 1997, ATM, Article 24, approved by Attorney General on 3-9-1998. <br />