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TOWN OF YARMOUTH BUILDIN IV--
k-' DEPARTMENT AUG 2 4 2022
0 1146 Route 28, South Yarmouth, MA, 02664
BUILDING DEPARTMENT
(508) 398-2231 ext. 1261 Fax: (508) 398-0836 By:_ _ _
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 relieffrom the Zoning Board of Appeals.
Date: 4,1as-2- 01V a,9a Telephone: . -59J-9'.35
Business Address: / — 2 '!//to_s /9,¢M.j D A a r/2 /d X t, A
Name of Applicant: io -r//C,e S• CO h/ 0-e
DBA: OdL Ad 641 U 71( Sv,ceS
Mailing Address: ,Y 0 /50X 3 yS ;-, P/)/4/S 1 a 4- e)6 .
Description of Business Activity: a/yt //1-e r keel i'' and to 'rl P ra/ JJ T SU ae)
The applicant acknowledges that a determination will be made by the Building Department based on the information
provided on this date. Any chap in the business use and/or activity will require additional approval. The applicant agrees
to abide by all conditions refe e to below. Failure to do so may result in the revocation of the Business Certificate and/or
appropriate Zoning Enforce t, should it e to in d that the changes are non-compliant.
Applicant's Signature: atea Date: a
Building Department Determination
Approved: Comments and Conditions '' 0 f t '.
ElDisapproved: Comments and Conditions
— _
Building Official's Signature: Date: