Business Certificate TOWN OF YARMOUTH BUILDIN r �-- �' > _[
DEPARTMENT p '
t b ,�, 1146 Route 28, South Yarmouth,MA,02664 1 _ W
rie? HI.JILUING DEPARTM t ..(508) 398-2231 ext. 1261 Fax: (508) 398-083 By
ZONING DETERMINATION FOR BUSINESS CERTIFICATE APPLICATION
The purpose of this form is to determine if 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. Once the Building Department has
made a determination,it will be forwarded to the Town Clerk.Please have your tax identification number and/or your social
security number available when completing the application process with the Town Clerks.
The Building Department will render a determination based on the following factors: (a) The business/use, activity, (b) The
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 of Appeals.
Date: 9 06p1(2_____ Telephone: ��)D�'v7 `'-Oa
P
Business Address: di • /65 3Jer yiking C/
Name of App icant: /OM bI� 1
�o/1,1 a1—, l5-
/ ,f 'l A,,,,,,,, Pal/i
DBA: L 641. ///63 iv. (ja4 mobith ,tv '
Mailing Address: 1J/ r ' kh1o6 , gif d2467
Description of B�si ss Activity: i a/ Il� �14Stelekmi
•
PO Sto A.,— t'l 4? . / . (Nei ta-trvt v e6-5 .
The app icant ac owledges tat a rmi tion will be made by the. Buildin(Department based on the information
provided on this date. Any changes in the busines se and/or activity will require additional approval. The applicant agrees
to abide by all conditions referred to below. F • re to do so may result in the revocation of the Business Certificate and/or
appropriate Zoning Enforcement, should it ine at the changes are non-compliant.
Applicant's Signature: Date: a aV2d
/ Building Department Determination
Approved: Comments and Conditions /'/'tee ec-c Wa rzlt j il tz— .0 74i O
2/ t-ter n)// 7 Li7cu
Disapproved: Comments and Conditions
OIL..44111.
„Building Official's Signatu • (�
Date: 'Z/- Zrl ZC�