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J,, , TOWN OF YAR.MOUTLI
. •�1- BUILDING DEPARTMENT
r � 1146 Route 28, South Yarmouth, MA 02664
.IH 508-398-2231 ext. 1261 Fax 508-398-0836
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ZONING DETERMINATION FOR BUSINESS CERTIFICATE APPLICATION
The purpose of this form is to determine whether your business complies with the Town of Yarmouth
Zoning Bylaw. The applicant shall complete the top section of this form and file it with the Building
Department/Board of Health.
Once the Building Department/Board of Health has made a determination, it will be forwarded to the
Town Clerk.
The Building Department will render a determination based on the following factors:(a) The business/use,
activity, (b) The zoning district in ►nhich the business is to be located. Allowed uses are based on Zoning Bylaw
Table 202.5 and(c) Previous or new zoning relief'from the Zoning Board of Appeals _
Date 4 F. --'"2 6 1 Applicant's contact number ?'
Business Address / W I f -k , ( A Yajr W a l -Pori_
Name of Applic nt c� Jv to
DBA `f(i . 'iD•-cvvv fr ,. - ---�-
Mailing Address / 117+4 , ,� R E C ... V E D
EOV 0 6 2019
Description of Business Activity
yece„ o BUILDINGULPARTMENT
The applicant acknowledges that a determination will be made by the Building Department based on the
information provided on this date and any changes in the business use and/or activity will require
additional approval. Failure to do so may result in the revocation of the Business Certificate and/or
appropriate ing-Enfoit.e ien should it be det Fmined that the changes are non-complia t.
Applicant's Signat e \ Date /( � (
BUILDING/HEALTH DEPARTMENT DETERMINATION
(office use only)
Approved
Comments P." I U Ss_ i4-7,coovE,0 /, i-i-- / ./Ce/ J
V St -1'" 6Ce-(A itiNC1
Disapproved
Reason for Disapproval
Building O icial's
Signature a Date // 7-19