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TOWN OF Y , ' OUTH BUILDINf I " 7
b ° D PARTMENT -I
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y 1146 •oute 28,South Yarmouth,MA, 02664 ( JAN Z � 1
(508) 98-2231 ext. 1261 Fax: (508)398-0836� "--.- �'
rni_ti;Nr, OF RANTFvE1VT
ZONING DETERMINATION FO' BUSINESS CERTIFICATE APPLICATION
The purpose of this form is to determine if your busines.complies with the Town of Yarmouth Zoning Bylaw. The applicant
shall complete the top section of this form and file it ith the Building Department. Once the Building Department has
made a determination,it will be forwarded to the To ii Clerk. Please have your tax identification number and/or your social
security number available when completing the applic:tion process with the Town Clerk.
The Building Department will render a determination eased on the following factors:(a) The businessluse, activity, (b) The
zoning district in which the business is to be located. A lowed uses are based on Zoning Bylaw Table 202.5 and(c)previous
or new zoning relieffrom the Zoning Board of Appeal
Date: I/ 1 /2, Telephone: cr-1 8
Business Address: Zcf 13 v c j —ot ,�m C A i
Name of Applicant: ca r G t 0�.co -7 .5
DBA: 134 �I-t- .Sy .)Co _S
Mailing Address: Z Q S k-c•. l r-6P-v-/ IBC.. G /
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Description of Business Activity: �� I _ PL., b I i C, 2' 7
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(i-kfr) IP I •- A r IA, oir , , -01 51 i'l G I-1b114 'The applicf t acknowledges that a determin.ron wit be mad- by the BuildingDepartment ��/
provided on this date. Any changes in the business use . d/or activitywill require P ent based a the informationadditional approval. The a
providedto abide by all conditions referred to below. Failure to i o so may result in theevocat on ofthe Bus ness Certificate
appropriate Zoning Enforcement,should it be det• ii.1•d that the changes are non-compliant,
Applicant's Signature: F?
`'-.`, Date: i t � Z`-F-
Building D•a artment Determination
Approved:Comments and Co
nditions
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Disapproved:Comments and Conditions
Building Official's Signature: I► 4
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►—L Date: