Zoning Determination - Buckley 120522 gT
TOWN OF YAROUTH BUILDIN4R
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� , ,0 DEPARTMENT 1 DEC 05 022
0 y 1146 Route 28, South Yarmouth,MA, 0266 L
(508) 398-2231 ext. 1261 Fax: (508) 398-08 6a 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. Please have your tax identification number and/or your social
security number available when completing the application process with 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 from the Zoning Board of Appeals.
Date: 12 S) 7 Telephone: Lj o$ - 5 09`'{ r s 5 c.I c
Business Address: g Z A c -"DI- . k,...3. \/6,,,_ ,n,n,� U1AI
Name of Applicant: Tc¢l- (----j2
DBA: `►'UY.,cJ5;OIL Rj;D i.rtli ot.0 6
Mailing Address: S) VA Cou .p 8q _ - "/o r An.19 J&__ Ya ..
Description of Business Activity: G C NC C,L__._.- , �j ,`a tir,�c CO-.,� r4 cdi C--
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The applicant acknowledges that a determination will be mad 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 Enforcement, should it be determined that the changes are non-compliant.
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Applicant's Signature:` 1 t Date:
Building Department Determination
Approved: Comments and Conditions � £ wt�,. ")-aC71)- 1 4.f .i c` 7e4� et
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0 Disapproved: Comments and Conditions
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Building Official's Signatur . ,.:� /'�`)'` Date: /Zi7 AZ'