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Town of Mashpee Town Clerk <br />` 16(beat Neck Road North <br /> Mashpee MA 02649 <br /> Fhmw#508-539-1418 <br /> Fax#508-539-1142 <br /> o-mail addr esa: ddami®ooastrpeema gov <br /> t.'. si5• <br /> BUSINESS CERTIFICATE <br /> m/CHECKLIST <br /> Business/CorporationName: T{a I s6u/ lj/ I/� /��� l k s1 <br /> fi- <br /> Owner Name: UL/l / /l rrr ( rr`/ �r /�( <br /> Business Address: /I U/1, �k1�/'/� -C <br /> WJ 19 Z4Residential Address: 17 vag L <br /> Business Phone No.: I -q / Home [ ] Cell [ ] Phone No. U d �J�3 J� <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 hnew noti a when the time comes. <br /> 11 <br /> Email Address: VLAl� �Lnen � /N V6 a1K) <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: 7-z— BLOCK: <br /> Treasurer/Collector <br /> Building Inspector: <br /> Board of Health: O <br /> E911 Coordinator: <br /> Fire Department: ab Z/q <br /> Mashoee Town Code fill -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 /> 1911,ATM,Article 24,approved by Attorney General on 3-9-1998. <br />