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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:06 / 1,0 / 2025
permit Number: 103512
ln accordance with the provisions of M.G.L. Chapter 148. as provided in Section 10 A application is hereby made
by DAN PAIGE
Address: 620 Route 6A /Bass River Rod & Gun Club/YarmouthPort, MA
For permission to: lnstallation ol aboveground LPG tanks 527CMR1 .12.8
Name of Competent Operator: BASS RIVER ROD AND GUN/TASHA
Date lssued-Bejected 06 /L0 /2025 By
Cert. No.
Date of Expiration:Fee: $50.00 $ paid
(Signature of applicant)
Due
184
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PERMIT
City or Town: Yarmouth
Dale:06/1,0 / 202s
Permit Number (it applicable) 103s12
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: BASS RTVER ROD AND GUN/TASHA
For permission to: lnstallation ol aboveground LPG tanks 527CM81.12.8
At 620 Route 6A /Bass River Rod & Gun ClubffarmouthPort, MA
GOPY
DIG SAFE NUMBER
Start Oate:
ss0.00Fee Paid $
Signature of Oflicial Granting Permit
This permit will expire on
Title
This peryq! mur! be conspicuously posted upon the premises
Reslrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and afler work is complete.