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Town of Yarmouth Building Department
1146 Route 28, South Yarmouth;M42664 tel. 508-398-2231 ext.1261
Use and OccuAlifOrifieitApplication
In accordance with the provisions Of the:Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit
Name of Business Phoenix Landscaping owner Felipe Ribeiro 508 827 0254
Property Address Sunflower Market Place 923 Rt 6A Yarmouth Port Unit# Building 6 Unit Z
Type of Business Landscaping Business Office
*Square Footage to be occupied 950 *attach floor plan Fee: $60
The applicant is required to obtain approval sign-offs from the following de. . - as
checked off below: RECEIVED
e lealth Department — 508-398-2231 ext. 1241 SEP 131013
_.X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-221. B ul ' ► •
-rvr
Other '" r
Chapter Two LLC James Basler Manager
V1/ ;(,411/1)
Building owners Signature Applicant Signature
Please note: this permit is for use and occupancy only. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
i°iforrnation based on the scope of the project. V�
**Office use only**
Zoning District 6 Proposed Use /I I r Change of Use: Ye g sX No
Allowed Use: Yes, No APD Waiver: Yes N N A
ildi g Officials Signa re
Date BC1..�--23 —6 co,
RECEIVED
4-,4 ,,, TOWN OF YARMOUTH
o� , K' HEALTH DEPARTMENT SEP 12 2023
`�`�, *,,,�,� HEALTH DEPT
rr�cN
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: u ,l
Proposed Improvement:
Applicant: h ,L y23 -a I
Tel. No.: 549-
Address: .
Date Filed: —12 "2.
i:::
otiication of sign of;please provide a-mail address: ' C.D Name:
Owner Address: q 2 6
,�, Owner Tel. No.:5()11_.-9 3 3 J/
..... .Clrt�
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:
DATE: 94/2 �j
COMMENTS/CONDITIONS: PLEASE NOTE
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