HomeMy WebLinkAboutBLDC-25-67 RECEIVED '
qte 2025
TOWN OF YARMOUTH
A.; Office of the Building Commis�I G DEPARTMENT
k'o j L y1 1146 Route 28, South Yarmouth, •B i
508-398-2231 xt 12
ZTTACHEESE q / e • 60 Fax 508 398 0836
\` C�RPORATE e'
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 fj /�1�fi ev Phone # i� 8Z/- /2 a y
Type of Business 7o,� 7/L-vc.` Email S,t,4tA1C ,r. c-ifooixcva°'C74
Property Address 5V/ /2. ZI Unit #
*Square Footage to be occupied /IA *attach floor plan (///i.- Fee: S60
The following department sign offs will be required and will be notified once the application is
entered into the OpenGov permitting system. Z /A^) 7)7 Eificif•Qt2tvic4fecw c"
X Health Department - 508-398-2231 ext. 1241
X Fire Department - Fire Prevention, 96 Old Main Street, 508-398-22 12
Other
B iil • -1 owi 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 Proposed Use Change of Use: Yes No
Allowed Use: Yes No APD Waiver: Yes No N;'A
Building Officials Signature Date
l;,daucd 62-
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