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Town ofMashpee Town Clerk <br /> v 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> �.: .a <br /> (/� <.b;?,, Phone# 508-539-1418 <br /> Fax# 508-539-1142 <br /> a-mail address: ddamiQmaahpeera&gov <br /> BUSINESS CERTIFICATE CHECKLIST <br /> i <br /> Business/Corporation Name: 1Z(E AJF-XT G IE(ZfFTl01.( tfA2t)&-Wb EL0QPJ.AJ r CO . <br /> Owner Name: KAZ-[Z±t EZ A f gA)I-ESN <br /> Business Address: I la_)I L-AAW Ra :;tf-P6Ey alst 052L41 <br /> Residential Address: SA-Aq <br /> Business Phone 56$ Home [ ] Cell [✓] 774 ,239-?04 07 <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 /> Ofollowing offices: <br /> Department Head (or Representative) Signaya/�)e Date of Signature <br /> Assessor: YJ( Ul1WA�/ y\\L��� 3h nI 2O I <br /> MAP BLOCK _ <br /> Treasurer/Tax Collector r: <br /> 312 1'4 <br /> ilof Morn l4a,7 /4a . e cl ve4 tf� <br /> Building Inspector: not fo CZ/ Q 2 r _ ,' ,3 zf ZD/ <br /> Sig &re Date <br /> Board of Health: <br /> Sig✓ r o27Mtf�Z� <br /> 911 Coordinator: - <br /> Signature �y Date <br /> Fire Department: f � <br /> i <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. <br /> History' Amended 1-6-1997 ATM Article 24 approved by Attorney General on 3-9-1998. <br />