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f Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> Mashpee MA 02649 <br /> oF:•;. "' � ;?. Phone# 508-539-1418 <br /> . s <br /> • �•. ;��« �.a '•� <br /> Fax#508-539-1142 <br /> E3• e-mail address: ddami@mashpeema.gov <br /> 01: <br /> B".. 1 •V IQ' <br /> R�`S/i1Ul.L GD"� <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business/Corporation Name: l rtC111C -rrm-- <br /> Owner Name: /i�vv►_ 0 4441 / J C,W L/1-el C y� <br /> Business Address: <br /> Residential Address: <br /> Business Phone 6-Pf- 150D Home [ ] Cell [ ] 263_4/2- h03F <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: 41. <br /> LIVI% QA� S/1� �yY✓� <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 Represe tative) Signature Date of Signature <br /> Assessor: // � �7 c <br /> MAP BLOCK Z <br /> Treasurer/Tax Collector: <br /> Building Inspector: Z <br /> r <br /> Board of Health: 'Ile <br /> 911 Coordinator: x. Jell' ZO�� <br /> Fire Department: ftthority <br /> Mashpee Town Code §112-1. ny 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 /> i <br /> i <br />