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1, Town of Mashpee Town Cleric <br /> 16 Great Neck Road North <br /> tie:ro"N o� Mashpee MA 02649 <br /> ='.r• M <br /> off.;:•• •:•°s Phone#508-539-1418 s <br /> Fax#508-539-1142 <br /> e-mail address: ddami@mashpeema.gov <br /> 8.,••. r ,�Joh' <br /> q�`�iIUI,G.L <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business/Corporation Name: A/P.(/ �0 l.q�/F LIZ <br /> Owner Name: <br /> Business Address: <br /> Residential Address: �y,�1` <br /> Mailing Address: // Po ('-,ow- / <br /> Business Phone 7-24. V?- W4 Home [ ] Cell] FUZT 32L 3247/ <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 ofSignature <br /> /1 <br /> Assessor: x 6/AA2 &,V� !!d, <br /> MAP BLOCK 9— <br /> Treasurer/Tax Collector: <br /> �I&-d C�p <br /> Building Inspector: <br /> fnfor <br /> Board of Health:911 Coordinator:Fire Department: <br /> Mashpee Town Code §112-1Deny or Revoke: Cause. Any board, officer, committee or <br /> department may deny any appvoke 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 />