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E c^F i D Town of Yar .�.�� • ,B i}„j}-g Departmentt ,
4 F
1.1 ' � ute`28, South Yar F�''� � ��� �' !„1, •~�
NOV .i. 4 r" i L... - " s , , , tel. 508-398-2231 ext.1261
�� _ _ ENS � Use and 1� �f�'.�,�, � �� ,� �
BYt V - 1 . �, 1 i pplication
En-accordance with the provisions i`. •��"'y L.TTACHa E/E!n
�s State Building Code, section 105.1
Application for a cert fica'��'''us .
e and occ
upancy Carp
Name of Business Yannatos Physical Therapy Inc.
Phone # 508-259-8327
Type of Business Physical Therapy Office Email aseguin@yannatospt.com
Property Address 439 Station Ave
Unit #
*Square Footage to be occupied 3016 *attach floor plan Fee: 860
The applicant is required to obtain approval sign-offs from the following departments as
checked off below:
X Health Department — 508-398-2231 ext. 1241
X Fire Department — Fire Prevention, 96 Old Main Street, 508-398-2212
Other
b\ --o,
. 2'
it)L\
Building owners Signature Applica ignature
Please note: this permit is for use and occupancy only. Any work requiring a building ermit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use onl **
Zoning District 0Adair
Proposed Use et Change of Use: Yes NoX
Allowed Use: Yes/N No APD Waiver: Yes NO
(
Buil
r� //- 3
g Officials Signature Date
Updated 3/21
6 61 --c3-77
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&C4 O �►ys,cw\ T�er-,
THE VALLE GROUP INC
`)70 E.FALMOUTH HVW SUITE 3
EAST FALMOUTH MA 02536
439 Station Ave,South Yarmouth