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APPLICATION FOR PERM!T
City or Town: Yarmouth
Date:02/ o7 /202s
Permit Number: 103448
ln accordance with lhe provisions of M.G.L. Chapter'148, as provided in Section 10 A application is hereby made
by H
Address: 18 PINNACLE LANE fYarmouthPort, MA 02675
For permission to: Above Ground Tank Removal 527CMR 1.12.8.2
Name ol Competent Operator: SHERMAN/TANK REMOVAL SERVICES
Date lssued-Bejected 02/o7 /2025 By
Cert. No.
Date of Expiration Fee: Sso. o0 $ paid
(Signature of applicant)
Due
184
18P101
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PERMIT
City or Town: Yarmouth
Date:02/ 07 /2O2s
Permit Number (if applicable) 10 3 4 4I
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: SHERMAN/TANK REMOVAL SEBVICES
For permission to: Above Ground Tank Removal 527CMR 1.12.8.2
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.
At 18 PINNACLE LANE lfarmouthPort, MA 02675
DIG SAFE NUMBER
Start Date:
Fee Paid $
Signature of Otf icial Granting Permit
This permit will expire on
This rmit must be cons icuousl ted u on the rem rses
COPY
$50.00
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