HomeMy WebLinkAboutBLDC-24-9 flower shop Town of Yarmo hr* i;ng Department
1146 Route 281 South Yar o� 94,,,.01t4e1. 508-398-2231 ext.1261
Use and dc' � j A
��p_ � t��pplication
In accordance with the provisions of;t l ssaclusefts State Building Code, section 105.1
Application for a certificateWuse and occupancy permit
Name of Business EC3t0,0 G Phone # ZS °OGG
Type of Business -FFt,Ol.kkr S\- Email wave— a_oJ Q.0 1.
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Property Addres .3 '�,�� , �i sa.lt)\J-fktriu Unit # 'r
*square Footage to be occupied JDc,9D *attach floor plan Fee: $60
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 1 \I 5-.0
X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-221
Ali 2 4 2a4 ,
Other a'AFoTMENT
131)1LbING _ —
40,
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
information based on the scope of the project.
**Office use only**
Zoning District a) Proposed Use i Change of Use: Yes No k
Allowed Use: Yeses No APD Waiver: Yes No N/A a
Building Officials Signature DateeL4C-2(-1-9
Updated 3/21
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