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TOWN OF YAJRMOUTH
''�,o4 '�R' _ BUILDING DEPARTMENT
• 1146 Route 28,South Yarmouth, MA 02664
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o --,''3 508-398-2231 ext. 1261 Fax 508-398-083 i ; ,r,'
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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
Once the Building Department/Board of Health has made a determination, it will be forwarded to the
Town Clerk.
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The Building Department will render a determination based on the following factors: (a) The business/use,
acti, , (b) I he zoning district in which 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 ofcry
Date 6 a0 ZT> Applicant's contact number 7 ,57/2
Business Address - 3 13-i,ce le 1,,S.ec1
/ , - 152.673
• Name of Applicant s" :d•4c'
DBA A41:15aF�rc i-A-vi-d
Mailing Address 301 $cam L 5 HIV 6 2ei
1,Jes-f- • A44- oic
Description of Bush e s Activity .
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i '' �e "'._- - - , ' (� �/D s c.r,-S, ,4x��jo
l, fA-e-/-61res
eM*IL !9DDR «S int,31.90a/970',4-(4,-/rieze , , Cerypi
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
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additional approval. Failure to do so may result in the revocation of the Business Certificate and/or
appropriate Zoning Enforcement,should it be determined that the changes are non-compliant..
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• Applicant's Signature e Date /6/l//t a
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BUILD[NG!R ALLTH DEPARTMENT DETERMINATION
(office use only)
Approved
Comments jAde pz ' -20A) 6' g76
Disapproved
Reason for Disapproval
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Building Offic•
Signature `�6 ��2��
Date / -(�