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APPLIGATION FOR PERMIT
City or Town: Yarmouth
Oate:o4/to/2o2s
permit Number: 103493
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
For permission to: lnstall underground Propane Tank
Name of Competent Operator Eastern Propane
Date lssued-Rejeded 04/ lO / 2025
Date of Expiration:
Cert- No.
By
142
3'ruN01
Fee: S50. 00 $ paid
(Signature of applacsnt)
Due
Address: 31 UNCLE ROBERTS ROAD /West Yarmouth, MA 02673