HomeMy WebLinkAboutLicenses TOWN OF YARMOUTH
BOARD OF AEALTH
, PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NEJMBER: #11-096 FEE: S85.00
In accordance witl�regulations pronmlgated under authority of Cl�apter 94, Section 305A and Chapter
l I1.Section 5 ofthe General Laus,a permit is hereby granted to:
AM. Pizza, Inc., 23T Wlute's Path, South Yannouth, MA
Whose place of business is: Domino's Pizza
Type of business: Food Service
To operate a food establislvnent in: Town of Yazmouth
Permit expires: December 31. 2011 BOARD OF HEALTH: �KL[ifL��{BxOft-SfltlflE, C'P�aixmaa
seara.c: o J 17aigft¢pltQt, `UiCe 'C ffaiKma�t
itEsniiciloxs: See Reverse Side. 2II�,[I� C. SR.BUtI�¢ft III� �?ll�t.
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December 13 �OLO �
Bruce G. Murp y, ,R.S.,CHO
D'uector of Health
'RESTRICTIONS:
1. No fiyers. �
2. No dishwasher machine. �
3. No clothes washer machine. �
4. No seats-take out only.
5. Nd stove-pizza oven only.
6. Single serv�ce/paper items only.
7. Separate water meter,for this unit 23T required.
8. All pizza ingredients are to be obtained as precooked.
9. Mawmum daily water usa�e not to�cced 175 gpd;A montLly log is to be maintained
with a yearly repod submitted to the Healtb Department by December 1 of every yeaz.