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• Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> Mashpee ILIA 02649 <br /> Phone# 50&539-1418 <br /> z yA Fax#508-539-1142 <br /> e-mail address: ddnmi roashpeema.gov <br /> • �vp•.: <br /> BUSINESS` ,CERTIFICATE CHECKLIST� , <br /> Business/Corporation Name: 'C(���012t-c �-F1 / 6o56 eig-U-) Cl AAJ <br /> Owner Name: --n-k oo <br /> Business Address: 4�2 1 t+DV-N 9�IZQ C.I QL( E� <br /> I �{ <br /> Residential Address: I EEZZZ C,1 V—LLE <br /> Business Phone Home [ ] Cell <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: �k G A-L-D Co(o a q DA4od , c Lj <br /> In order to obtain a Business Certificate in the Town of Mashpee you must obtain prior approval from the <br /> following offices: <br /> Wepartment Head (or Representative) Signature Date of Signature <br /> Assessor: Ck f1k49 p J1 a'tT4 <br /> MAP BLOCK JTreasurer/Tax Collector: 8-Z-7 Lam( <br /> c� <br /> Building Inspector: <br /> Board of Health: �7 <br /> 911 Coordinator: ( C� 7 Ao 2- <br /> Fire Department: <br /> Mashpee Town Code 4112-1. 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. <br /> istorv: Amended 1-6-1997 ATM Article 24, approved by Attorney General on 3-9-1998. <br /> I <br />