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T Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> toy+'N Mashpee <br /> ..: .....rn MA 02649 <br /> •ro'9s` Phone#508-539-1418 <br /> wr'' � `�:a 1 M . Fax#508-539-1142 <br /> "` e-mail address: ddami@mashpeema.gov <br /> �aui:�co.• <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business/CorporationName: n�� <br /> -:aa ✓v- <br /> Owner Name: a 11 V S Al Irn U 1 <br /> Business Address: q11 I�LC(5 S r� tJ 8 <br /> Residential Address: i iP,c,QlLL-as a l) <br /> Business Phone No.: -5 Home [ ] Cell [ ] Phone No. 5(-VF, - 4J77 r1 SS 3 <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: @C,,,m C'(' s_ . tk e <br /> In order to obtain a Business Certificate in the Town of Mashpee you must obtain prior approval from the <br /> following offices: <br /> • Department Head (or Representative) Signature Date of Signature <br /> Assessor: MAP: �g BLOCK: <br /> 1 g <br /> 01-Ile <br /> Treasurer/Collector: ko ' <br /> Building Inspector: /0 <br /> Board of Health: <br /> E911 Coordinator: / lO Juri c2-OC3 <br /> Fire Department: .Az1; lzo" <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 /> other matter which is subject of such license or permit and which activity, event or matter is carried out or <br /> exercised or is to be carried out or exercised on or about any real estate whose owner has neglected or refused <br /> •to 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 />