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BLDC-24-49-
p Town of Yar ` 7.r�. R � C Department APR liafio t 28, South Var r . ;��. , ;e'• _ el. 508-398-2231 ext.1261 BUILDING DEPARTMENT Use and •.emu ; M' ._ _ ' tipplication 13y — _ - rA PTATTIMCM t S£%3'fj7 "'lira ordance with the provisions o .%hj assac tts State Building Code, section 105.1 Application for a certificaf " se and occupancy permit Name of Business . >+- cORIND o , ,J y Phone #Lt 2:3- ' - Z l0-4-I Type of Business Email v ts©ti6 roc� �r�� L Property Address J�1 I ,q-j ) `�i ) -u or1 I ` I MA-OW-3 Unit # *Square Footage to be occupied ZOO *attach floor plan Fee: $60 :0)1(4 — ci 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 pl3s- X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-2212 0 her 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. OD( , **Office use only** ` ...13--ig413\-1761- Zoning District Proposed Use Change of Use: Yes No\ Allowed Use: Ye? No APD Waiver: Yes No N/A 60/41 Building Officials Signature Date Updated 3/21 ‘VOU \ SO N) \W-1(. 1(4 \ • C_C" 3 >a, (.,„L,........._._._-__-d-_.-1/4,---- r ei - CAPE COD - 1/P'E WINE 6 swill Property Owner Authorization Letter Date: 04/25/2024 Arthur Luke Luke Brother's Inc. 511 MA-28 . West Yarmouth, MA 02673 (508) 775-5000 This letter is to certify that I,Arthur Luke, am the owner of the property located at: 511 MA-28, West Yarmouth, MA 02673. I understand that The Corndog Company has applied for a business license from Yarmouth Town Hall and that their business will be located at the above-described address. I hereby give my permission to permit this activity (with regard to our prorated agreement) from my property and allow Yarmouth Town Hall to issue the appropriate business license. Property Owner Signature: i)C L-.AA(c7' Printed Name: VY`i, Al a The Corndog Company Mark& Kirk Poulson poulsonlcirk@gmail.com 480-274-9264 :r _• t r • !Ili_ ......li 0,1 si r. i ,...:-.-4-- . .;... :,',:. . . .... .._ . ,otik ' 60 ,=• •,.< " I •..•" - '.44t.- r.'- . ,' 0111.1! .'....,,":.':!....,..,,.,...,..,,,',,`;.:,.„,,• ::.':::'4,• F.. ii • ,. • . _ ..,_, • , . . ''''1111111g - . ;.:.: t . . . . _ .. . • 1' . "."-' ..,.;,,::-..Ae.7:':..‘.. ,.i 5 1 2 1 / ' ' ._. lie _ __ . -- , . _ 51 � T . .., . Orli, , 410 ..:, ... .. .... s 1 . • ,.., ...._...._•• . .. ,.. ;. ...,.. . .,.. ....,.. ,_...._._ ., .__ • ., 7E1(41 _ '•-.„.,,.. , .. • .. . „ .. ..,„,,.... - .. .. . , ,. . m - �'. Y ".Rig ..�yW..�..wr^ ..._. I . 4_ , ,__„ :-.._.. .. N _ r ' • 4 pr : ' ill III j i# s k .. 1 { ,.. .<z.••••I . -, '.1.-:-:-,.:,4::t.4,,6c,,:--;::y,,*'_-:- „ Wiz, 1-1.,: . .. ,.2 4 . 014 ' ,.: ... S , oils 1 YARMOUTH FIRE DEPARTMENT • . k.110' U ' +, �; 96 OLD MAIN STREET illTr;_ SOUTH YARMOUTH, MA 02664 I. PH.: 508-398-2212 / FAX: 508-760-4861 .. c Pt!, - FIRE AND SAFETY INSPECTION REPORT ss--el Rd— Iv rL u kp f ADDRESS OF INSPECTION: ( i # i+5 YARMOUTH PORT H SOUTH YARMOUTH WEST YARMOUTH NAME: bin/ do1 (- c" • 121 OWNER MANAGER TENANT OTHER (explain): DATE: L/.. L c- 2 `i TIME: / ✓ o PHONE: NAME: k; r< k PO U 15 o n/ PHONE: LI/'U 2 ?y - CJ i C -/ OWNERS MAILING ADDRESS: ,' / • e J / ,i,J't11/iS An inspection of the above captioned property was conducted by the undersigned during which the following fire or safety deficiencies (D) or violations (v) were observed and noted for correction: Aj o r n, S i-r, 4 4 r-- o U4C : /!-T' a d f ly P r e/X16,.) C /'/ o P 4¢6._4'04✓ vd iAS/2•0 C 6/.1 titpd_01 You are hereby ordered to abate or correct the deficiencies or violations within days. Failure to do so may result in civil and / or criminal complaints being filed. Signed: 2.7/ _ 7 .'---Z______, Title: 2., 1 / ./Sp , Copy Received By: ki..Rk Original - Owner/Tenant Yellow Copy- Fire Department FBP 99-1