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w <br /> Town of Mashpee Town Clerk <br /> 16 Great Neck Road North <br /> t4"'N Mashpee MA 02649 <br /> ,fit\V�....�...,�F,�� ' <br /> •;:9r Phone# 508-539-1418 <br /> X , s <br /> x � Fax#508-539-1142 <br /> • �� ' ,; �' e-mail address: ddami@mashpeema.gov <br /> � s;' 1y. <br /> I <br /> BUSINESS'S CERTIFICATE CHECKLIST <br /> Business/Corporation Name: <br /> � &35�V)O-W,)u I stli nqS A )U.('� L4 f <br /> owner Name: \ f 40 ( yMCXI I / <br /> Business Address: 1171 r ,-/, ��� Pct . LAasA7npe �� 0262 y /� <br /> Residential Address: l o l �raa 10 1A IJ lc� et f�ca PQ py P �� O2b / <br /> Mailing Address: &-4 M(3rhAfe P19- 096-09 <br /> Business Phone �8_ �� 1�00a 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: Shah iJ22.3 BDLcJEIQ�l a Q I�00 0o • C'hYX <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: <br /> cVylagl�ar5 <br /> MAP BLOCK _ <br /> Treasurer/Tax Collector: ��- <br /> Building Inspector: G <br /> i <br /> Board of Health: <br /> 911 Coordinator: a 02 <br /> Fire Department: N/A <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 />