HomeMy WebLinkAboutBLDC-25-2 b f,„ CaA-1 ( n c7
TOWN OF YARMOUTH
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1146 Route 28, South Yarmouth, MA 02664
AA M 7[AMEESE ' 508-398-2231 ext. 1260 Fax 508-398-0836
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In accordance with the provisions of the Massachusetts State Building Code, section 105. 1
Application for a certificate of use and occupancy permit
Name of Business A W e 5k e975- 00A)i 7 Phone # j 0 $` D 3 7 3 67
Type of Business ) up ) 7 G) Qy Email we c U t/4:
1,4
Grp
Property Address - f- l5/ S"1"-- nit # A c�--
*Square Footage to be occupied 4� v 00 *attach floor plan Fee: $60
The following department sign offs will be required and will be notified once the application is
entered into the OpenGov permitting system.
X Health Department — 508-398-2231 ext. 1241
X Fire Department — Fire Prevention, 96 Old Main Street, 508-398-2212
Other 0511 ezi C. or)/n_ULLA)
Buildi tiers ignature pplicant Signature
Please note: this permit 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 1�. 3 Proposed Use Change of Use: es No
Allowed Use: Ye. ) No APD Waiver: Yes No N/A
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Building Of icials Signature Date
Lplated 6 24
& 1040 Southbridge Street, Unit 1
in Worcester, MA 01610
a e (508) 752-8757 WILSONART®
(800) 252-8671 INTERNATIONAL
2023
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