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Business Certiicate Application haw o C: FIVFD TOWN OF YARMOUTH -- o4'4t BUILDING DEPARTMENT. 's: �'e' c 1146 Route 28, South Yarmouth, M�0266 !A 1 ()6 202.0 0 `tirl sr �t►S-3 8- 1 ett. 1261 Fax Stl -39�ti 3ti Oa H �1L . �PIRTT ": sty•. � � .�' •�' BtltLliilvU i.'r_PARfNncNl 1 BY - • 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 . . . .__::-. a:ratre toae-d•ethealthy=. - . . .. ... _.... . . .. -- --•-- _....___.. 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 businessir e, • activity, (b)The zoning district in which the business is to be located. :flowed uses are based on Lott€rg By/mi' Table 202.5 and(c)Previous or new toning relieffrom the Zoning Board of Appeals Date ii/6 790 Applicant's contact number o )2—36 7/44 Business Address . %. 7 t' g.t.—D R/) 5 ur a 0&A H , i A 626 6 Name of Applicant Jan 7—�ilt!)4'— DBA AJ 7i-1 rd.)U Maililig Address /02- T a' RP • 5)v77/ yAemo 7// /HA ©2-6 Description of Business Activity jlit/S/L 4 /11V /E —/J //'t/- s - '7'L 1 � o - `c ' o7ffc6 •4C our' ✓d Co 1v''� or- �e7vgc�S i�7 771/S -O C,q-7/a AO S/6 A, e-M4,L. FrDDRe-&cskW/ Rr14C.ou . 737 ? ibo,-C©M The applicant acknowledges that a determination will lie made by the Building Department based on the information provided on this date and any changes in the business use and/or activity wiii'reg_dire additional approvaL Failure to do so may result in the revocation of the Business Certificate and/or appropriate Zoning Enforcement,should it be deter ined that the changes are non-compliant. • Applicant's Stoat Date /�ld�o BUILD!NG/ITR ALTR DEPARTMENT DETERI N ATL.ON (office use only) , • / Approved Comments ntleze gbu8''ige-70 s✓ f irk ivr-'40-' A71,74-7 • Disapproved . Reason fo.r Disapproval Building Ofii 'al's 'i. • Signature ( / Date