HomeMy WebLinkAboutBLDC-24-6 withdrawn Town of Yarmo #h Bu41i,ng Department
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1146 Route 28, South Yarnlo
° �4 . ;tel. 508-398-2231 ext.1261
° 1 ;,
Use and OccU trkii/jrApplication
In accordance with the provisions of. i (IassaCJ usetts State Building Code, section 105.1
Application for a certificate fuse and occupancy permit
Name of Business / ►'VM 1 Q,C /)O / . Phone # ? y
Type of Business 8 o -- �C 07
� r fa Email Arv)tr?hC /)/5 0.-'7Mk ACM
Property Address a 6/4- / fks <-5/Y-a Ykaneeli:/i/07/276Unit
*Square Footage to be occupied `i Odd *attach floor plan Fee: $60
The applicant is required to obtain approval sign-offs from the following d
checked off below: ` gf
X Health Department — 508-398-2231 ext. 1241 t
JAN 17 2024 L. _
___
X Fire Department — Fire Prevention, 96 Old Main Street, 508-398-2212! BUILDING UtPARTMENT
Other
Building . , - _ ature L pl'cant Signature
Please note: this permit is for use and occupancy only. An 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 Proposed Use Change of Use: Yes No
Allowed Use: Yes No APD Waiver: Yes No N/A
Building Officials Signature Date
Updated 3/21
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