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r og Y`�TTOWN OF YARMOUTH
ro, Office of the Building Commissioner
Kt � 1146 Route 28, South Yarmouth, MA 02664
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H 74. 4 508-398-2231 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 Burger Queen Phone # 508-258-0385
Type of Business Quick service restaurant Emailbgyarmouth@gmail.com
Property Address 1297 Route 28, S Yarmouth 02664 Unit #
*Square Footage to be occupied /7. <&/ JF *attach floor plan Fee: $60
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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
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uildin n s 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 \ Change of Use: Yes No k
Allowed Use: Yes $ No APD Waiver: Yes No N/A Oc
Building Officials Signature Date RECEIVED
0
Updated 6/24 JAN 16 2025
BUILDING DEPARTMENT
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