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TOWN OF ,.
YARMOUTH 1
BUILDING DEPARTMEN IAN2,
1146 Route 28, South Yarmouth,MA, 02664
} (508)398-2231 ext. 1261 Fax: (508)398-0836 BUILDING DEPARTMENT
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.
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 rom the Zoning Board of Appeals.
Date: /l/Z 1 26.) Telephone: 5 6 /Z j(—
Business Address: g 7 LAA/R.. kr- Lac
Name of Applicant: I P `c L (S
DBA: LV/\Ll S L U,,tJs er
Mailing Address: a-7 C RA ii/Q—�c,,.t tri1-/i' 1/4-%0_Aj j ,t4,4 GZCv&,
Description of Business Activity: O t=-e=�G= i 4 C cJ S Tu/t/1=2 5 X/O Sr 6,vS
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The applicant acknowledges that determination will be made by the Building Department based on the information
provided on this date. Any changes in the business use and/or activity will require additional approval. The applicant agrees
to abide by all conditions referred to below. Failure to do so may result in the revocation of the Business Certificate and/or
appropriate Zoning Enforcemenf;s uld ' e determined that the changes are non-compliant.
Applicant's S':nature: Date: / 2U
Buildi epartment Determination
`. Approved: Comments and Conditions A69 6 1 .- 9/6,
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IIDisapproved:Comments and Conditions
Building Official's Signa Date: / '20�-e