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Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> Mashpee.MA,02649 <br /> o:i° ,''• Phone#508-539-1418 <br /> • V ° •9 <br /> �5,•' =�'° ` M Fax#508-539-1142 <br /> " a e-mail address: ddami@mashpeemagov <br /> BU,S�S /CERTIFICATE CHECKLIST 1 �/ <br /> Business Name: <br /> Owner Name: <br /> Business Address: <br /> /7 <br /> Residential Address: �/ ✓t� ��j �j� �v�//��/ ` l/ <br /> Business Phone No.: ' Home [ }Cell [ } phone <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: <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:�_ BLOCK: <br /> U`1(�I�13 <br /> Building Inspector: <br /> Board of Health: �/A J\ r-13 <br /> E911 Coordinator: <br /> Fire Department: ' ,/ 7i� <br /> Tax Collector: \ A "I. 2q -• (J <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 />