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TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #10-165 FEE: 580.00
In accordance with re�ttlations proniulgated under authority of Chaprer 94,Section 305A and Chapter
� 111,Section 5 ofthe General Laws,a permit is hereby granted to:
Jake O'Rourke, 57 Neptune Lane, South Yarmouth, MA
Whose place of business is: Jake's Bakes
Type of business: Commissary/Catering Temporary Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 3 l, 2010 BOARD OF HEALTH: ��Yilut��tq�it�4�t-Smit�, C�f�tuut
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March 22,2010
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