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Town oflvleshpee.Town Clerk <br /> c'. 116� yGreat Neck Road North <br /> O/ N:pee NIA02649 <br /> F : ••�' ,,,9 , Phone# 508=539-1418 <br /> • `•M Fax# 508-539-1142 <br /> e-mail address: ddami@mashpaema.gov <br /> �37ni1�i co.. <br /> BUSINESS CERTIFICATE CHECKLIST <br /> I�-i /—kd5 <br /> Business/Corporation Name� ��� KAI1IG �' t/� ✓" .T <br /> Owner Name: �,LJnv c <br /> LI <br /> Business Address: N,> ( ✓� I�APAoce- �emY <br /> Residential Address: ✓ �I L�-p d 1:7 <br /> Business Phone G/ Hom [ I 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: <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: G/ ??Z2 <br /> MAP BLOCK C <br /> Treasurer/Tax Collector: �S <br /> Building Inspector: e4z 4 <br /> te <br /> 4 /�/ <br /> Sig f Day/-// <br /> Board of Health: `�rL//,��- '/��Z/ <br /> Signature /-�=a—�/ (J Date _ <br /> 911 Coordinator: C 4/ <br /> Signatupy�� /J / Date <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 /> History' Amended 1-6-1997, ATM Article 24 approved by Attorney General on 3-9-1998. <br /> �II <br />