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Town of Maahpee Tows Clark <br /> ' 16 Great Neck Road Nor@t <br /> Madbpea MA 02649 <br /> o` •.9s Phoma#508-539-1418 <br /> r ty Fax#508-539-1142 <br /> • N l , • aamil addtvaL <br /> �t a �. <br /> BUSINESS CERTIFICATE CHECKLIST <br /> Business/Corporation Name::+%-�W( (CQ L1�(r �10CR�1/1 <br /> Owner Name: 11Dl��\•Qs+ \ ,17� (Y)fV4D <br /> n v <br /> Business Address: <br /> a <br /> Residential Address: `19Qp MA G�—LCQo ���t <br /> Business Phone No.: �^I I" o730'a�a O Home [ I Cell V4 Phone No.'-]1Y' <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: WC �� o��QACn0.f�VUC ACYL * <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: MAP: BLOCK: <br /> C 6sl �I �Ir <br /> Treasurer/Collector: 5 Zrc I <br /> Building Inspector:Board of Health: I!k <br /> S Z9 <br /> E911 Coordinator: a ! �l <br /> Fire Department: <br /> Mashoee 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. History: Amended 1-6- <br /> 1997,ATM,Article 24,approved by Attorney General on 3-9-1998. <br />