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APPLICATION FOR PERMIT
City or Town: Yarmouth
o9 / t5 / 2024
permit Number: 103378
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 24 SUFFOLK AVENUE /WEST YARMOUTH, MA 02673
For permission to: lnstallation ol oil burner
Name of Competenl Operator: THOMAS WABD REVOCABLE TRUST/E.F.WINSLOOETI' No.-
Date lssued-Rejecred 09 /L5 /2024 By
Date of Expiration
(Signature ot applicant)
DueFee: Sso.00 $ paid
184
24SU01
Date: