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� The Commonwealth of Massachusetts
? Fee
� Town of Yarmouth $iss.00
{ Food Establishment License
�
� Number: BOHF-15-1268-01 Issue Date: 1/1/2016
, Mailing Address: Location Address:
KC PIZZA INC. 484 STATION AVE
DOMINO'S PIZZA SOUTH YARMOUTH, MA 02664
65 THORNBERRY CIRCLE
MASHPEE, MA 02649
IS HEREBY GRANTED A 2016 LICENSE
TO OPERATE:
Food Service; Common Victualler
,
,
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires December 31, 2016 unless sooner suspended or revoked and is not
transferable.
Conditions
SEATING: 9
Board Hillard Boskey, M.D.,Chairman
Mary Craig, Vice Chairman
Of Charles T.Holway, Clerk
Tanya Daigneault
Health Evelyn P.Hayes
,
Bruce G. Murphy,MP ,R.S., CHO/Amy L. von Hone,R.S.,CHO
Health Director/Assistant Health Director
�
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