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Town of Yarmouth Buil ing Department
1146 Route 28, South Yarn*" � �040.
�a i 508-398-2231 ext.1261
IstirUse and Occupancy � ►pplication
In accordance with the provisions of titqAelassachtts State Building Code, section 105.1
Application for a certificate'" use and occupancy permit
Name of Business 46A L p/ �l'1r2�5 Ph
one # 77/4 -.313.-St-M1
Type of Business i - h55 Email Oh W.tX) (9' q. et
Property Address J C Loci. "Pc) Dr
Unit #
*Square Footage to be occupied *attach floor plan Fee: 6$ 0
The applicant is required to obtain approval sign offs from the followingde
checked off below: departments as
RECEIVED
x Health Department—508-398-2231 ext. 1241
[
x Fire Department— Fire Prevention, 96 Old Main Street 508-398-221
Other BY AUG 04 20T
BUILDING DEPARTMENT
Building owners Signature
plicant Sig ature
Please note: this permit is for use and occupancy only. Any work requiring a building
will require a licensed contractor to submit an additional application with all the permit
information based on the scope of the project. required
**Office use only** 6
Zoning District I Proposed Use
Change of Use: Yes N17 .
Allowed Use: Yet No
APD Waiver: Yes NqZN/A
ild' g Officials Signature Date
Updated 3/21
47 /AC Ae_b\c,vvkc C1me,L
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TOWN OF YARMOUTH BUILDING DEPARTMENT
Say ai vit-\ Certificate of Occupancy b-
MATTAC EAU /
4*"4"1/9fr In accordance with The Commonwealth of Massachusetts Building Code
5.2 lvzi o
Permit No. Location
Type of Building 717-/,.. ?-
Has been inspected and occupancy is approved.
. .
Date Building Commissioner
This certificate must be posted in a conspicuous place.
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