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APPLICATION FOR EXEMPTION FFOM PEBMIT
TO TRANSPORT COMBUSTIBLE LIOUIDS
FP-azlE
(revised 299)
Name of Owner:
tr /r 650
City, town or district:fna
Llcst )
lr1fitn 5{, LJ, cy'nrnz,4h h-ta. c))67<-qe ,+3
OI
Address:3 5-o
^iatds
a pemini and vthere vehidd is pafie<! ovement)
Vehicle Type L, ?hl € n n-<{r,./,>,-" naxe 17)-7
istration €clt -f.;L
vear 43
Reg
Applicant
o
l, the undersigned, certify under the penalty o, perjury that all information on this application is correct.
Furthermore, the tank vehicle as described meets the specifications for transporting flammable liquids
in accordance with U.S. DOT, Title 49 CFR.
Date:5 -pl. 2o, 2ez
ln accordance with the provisions ol 527 CMR 8.00: Board ol Fire Prevention Regulations, application is hereby
made for certificate of exemption of the transport vehicle described herein.
vm* t f D t<€ 3tr{c5 h6r{.5t&ank capacity fo Get-,
P;r{ rtanel
5-\THE COMMONWEATTH OF MASSACHUSETTS
REGISTRY OF MOTOR VEHICTES
P.O. BOX 199100 BOSTON, MA 02119
wvurir.massrmv.com
PLEASE KEEP THIS DOCUMENT
IN YOUR VEHICi.,,E AT ALL TIMES
CON
CERTTFICATE OF REGIST&ATION
COMMERCIAL
o^TE 01 01 02
02L3 5
I
FEESI
e€crsrrlion
ITILE
SPECIAI PLAES
STLES IAI
155
0
0
0
TOTAL l-55.00
I-r-:-J
RES DENTIATAOORESS (F D FFERENT)
w^nEs oR MEnaNANorsaIOT L FEGISIE8EC WEIGHI
0110 0 0
1995
1FDKF3 8FOSNB43582
NOT VALID UI.ITIL STAMPED WTH OFFICIAL SIGMTURE SIAMP OR SIGNATUSE OF IHE FEGISTRAF
t2 02
NAME(S) OF OWNEB(S) ANO MAIUNG ADOBESS
HOLLY BRIAR LEAS ING ]ORP
350 WIIN ST
w YARMOUTH, I4A 02573 - 4643
LGTCON TRUCK
EODY S'IYLE,4'YPE
BROWNFORD
AN589545
PASSENGEFS T}IAi
crxSEsEllEo
--)EXPIRES
LAST DAY OF
.00
.00
.00
.00
FEGISTFAT]ON NI]M8EB
898552
i1
COMMERCE INSURANCE
$a\e% n Vr--r, or*oo k/ o/o,y'y'.l a.l *r"ao"v.,t,-,t i"vr ; "y;;:' th-"fr o7aa &-o ./y'o n,r,,, r@?.0.%o-toes,gao.R."dny'^,,oy'(dotzzs t
ryFP4E
(revised 2/99)
City, town or district:rn AL
In accordance with the provisions of 5
made for certificate of exemption of th
APPLICATION FOR EXEMPTION FROM PERMITTO TRANSPOBT COMBUSTIBLE LIOUIDS
27 CMR 8.00: Board of Fire p.revention Begulations, application is herebye transport vehicle described herein.
1 r->CName of Owner:
Address: J
Lles,
L,o/.,whete veh'dc is pa*e<! ovamight)
Lt
Year 4.5Vehicle Type /'oA Make -C
Registration 6 q-VIN# / F t\{3 {cs 6,{.,;L D *ank Capacity GqL.
l' the undersigned, certify under the penalty of perjury that all inlormation on this application is correct.,:'*'J[il:'Ji:,litT":ilTff,n"r":Hi'eets itre specirications to, t,"n"poiinjrrammabre riq;;;
Applicant:
\- a,
FP.14E
(revised 299)
ln accord
liquids is
-:-i_::<Ei
City, town or district Yarmouth Date: 9/20/02
ance with the provisions of 527 cMB g.oo this exemption from a permit to transport combustibregranted to:
Name of Owner:Ho11y Briar Leasing Corp dba A&B Canco
pe6on, fim Or cotporanon granted erempton)
Address:350 Main SEreet, W. Rarmouth, l4A 02673
Vehicle Type Light Cons truc t j.on Make Ford
Reoistration E98-552 ylp; 1fdkf38f0f0snb43582
r995Year
Tank Capacity 80 ga1
a A/'7olfi cial g ra nt ing e x emp h on )
rs certificate of exemption shall remain in effect provaccordance with U.S. DOT, Tifle 49 CFR, specifi cation
ided the tank vehicle herein described is maintained infor kansporting flammable liquids.
WITH THE TRANSPORT VEHICLE :
(Pinl name and t le)
$ rrrrs oRrcrNAL MUsr REMATN
oate: 5-p/.2o,2oa.2
t7, n €" r, r r r. r r rroo t/, "/ e y'L : : n. /, r, ; n lti?-, '-;':":.:-': "';;! '')l)'")#'i'^,- .,, . . &!/ y'tnrtttczt./:Vi,o df ,,,,,o, O/|r" o/'t/,, flar. &,* ,C./ln,,,:ln
.v C; .2", /.:,.).-J/a/e.ni'.,1 -i,, ://-r/ct;:; '1 l9j
CERTIFICATE OF EXEMPTION