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TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #10-190 FEE: S35.00
In accordance�vith regulatians promuigated under auEhoriry of Chapter 94,Section 305A and Chapter
11 l, Section 5 of the General Laws,a pemrit is hereby granted to:
Nancy L. Johnsan, 157 Berry Avenue, West Yarmouth, MA
Whose place of business is: Beachberrv Inn
Type of business: Continental Breakfast
To operate a food establishment iu: Town of Yarmouth
Pernut expires: December 31, 2010 BOARD oF HEALTH: J3�iart J�3�ac�intan-Smitf�, C'Raixncart
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December 14,2010
Bruce G.Murphy,MPH,R.S.,CHO
Director of Health
THE COMMONVt'EALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMIT NUMBER: #1Q-012 FEE: �55.00
LODGING HOUSE LICENSE
This is to Certifi�that a Lodging House License is hereby granted to Nancv L.Johnson
at Beachbem� 157 Berr;Avenue West Yarmouth MA
in said To�vn of Yarmouth and at that place only and expires December thirty-first,2010 unless sooner suspended
or revoked for violation of the laws of the Comtnonwealth relating to the Iicensing of Lodging Houses. This license is
issued in conformiry �vith the autharity granted to the licensing authorities under section hventy-three,o�chapter one
hundred forty,of the General Laws,and is subject to the provisions of sections t�venty-two to thirty-one inclusive of said
chapter.
In Testimony t'Vhereof,the undersigned have hereto affixed their of�eial signatures,this Fotuteenth dav
of Deccmber A.D. ?010.
BOARD OF HEALTH: J�3. �tXlt✓�,�cA�tEO�t-Stttifl$, C'f�al�tlKRtL
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Bruce G. Murp , H,R.S.,CHO
Director of Health