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Town of Masb1m Town Cleric <br /> 16 Cheat Neck Road North <br /> 7.. ashpm <br /> • ct�s:;::.r�r,�> •hone ^ MA 02649 <br /> Phone#508-539-1418 <br /> Fax#508-539-1142 <br /> r e-mail address: ddami@mashpeema.gov <br /> BUSINESS CERTIFICATE CHECKLIST Len, <br /> j /a 1 <br /> Business/CorporationName: �i��/�STA �V �✓7G�/ b 3 �ud�PT �LIn�< ed� `�q <br /> Owner Name: <br /> Business Address: ?f!/ �14�/,✓Y)O(l�i 1 /1 S cL �Q �.� //� �D�P, /�9' <br /> Residential Address: /4ZGOA/Q(ItAJ Ave, , /))454a-ee gInA- <br /> Business Phone No.: �7/�T -.��9� F 9+9 F Home [ J Cell [ ] Phone No. ;SQ P'S3 / — O£'-S ✓` <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: US <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: (0 MAP: fe BLOCK: GJ/ p # —_— <br /> Treasurer/Collector: —� J <br /> i <br /> Building Inspector: <br /> Board of Health: <br /> E911 Coordinator: <br /> Fire Department: <br /> Mashoee 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. History: Amended 1-6- <br /> 1997,ATM, Article 24, approved by Attorney General on 3-9-1998. <br />