HomeMy WebLinkAbout2026 Tobacco LicenseDocusign Envelope lD: 7O5ABE34-7 AB7 4727 -885A-90490AEF8699
The Commonwealth of Massachusetts
Town of Yarmouth - Health Department
Tobacco License
A
U C
Compliance with Town of Yarmouth Board of Health ulations is neither inferred nor i.ltended
Permission is hereby granted to Certiltcate No.Issued to Bucky's 1
aenttfy propcrty address including strcot number, nama, city or town Certificate Ex,tion
528 BUCK ISL,AND RD, WEST YARMOUTH, MA 0267 3 D€cemb€r 31 2026
DOR, TOBACCO SALESPEil{Ir HUI,IBER
N/A
Board of Health
Hillard Boskey, M.D., Chairman
Mary Cralg, Vice Chairman
Charles T. Holway. Clerk
Laurance Venezia, DVM
Eric Weston
LICENSE IS BEIXG ISSUED 3Y THE TOWN OF YARMOUTH BOARD OF 1IEALTH
114.1: G.L' c' 6rtc, Clgaretter, Clgars, Smok.less, Smoklng Tobacco, Electronlc Nlcotlne D€livery Syst€ms (ENDS)
THIS
All sellers of cigarettes and smokelars tobacco mu6t be licensed.
This certlficate rfflrms that th€ specafled premlscs, structure, or portlon thereof has met the necessary conditions includlng anyinsp€ctions required at tha time of issuance,It must be framed or laminated and prominently displayed in a clearly visible location within the approved premtses.Alteratlon, defecement, remoyal, or Llture to dlsplay thls Ccrtff cab ts stri
*tMUST BE POSTED ON PREMISES*T
Interim Health Dlrector
James Gardiner
Date of Issuance: December 29 2425
BHTP.23.3A
Io Property Atl
fil)Z*t^*
Form CT-f,Tlx\M This license mutt be posted tnd visible 't rll times The srle oflobtcco
""' ^;;;;;',;;;;;e under 2r veerr or rge is prohibit'd'
AKHA IN-C
BUCKTS
5]8 BUCK ISLAND RD
WESI YARMOUTH MA 0267].]]53
Accornt ID: CRL-22285 I 75-006
Licctre€ Number: 998937600
This ccdities fiaI the ta\Payer named above rs licenscd uflder Chaprer 64c ofrhe Massachust's Cene6l [-aws to
s.ll at rcmil al lhc address.h.*" "bo*. Th" li;;;;iin*+on'r"raut" una rnay be suspended or tevok'd for
ffiq_w
failurc ro comply with slate laws and regulalions.
EfTectiv. Drt.: Octobcr 2. :025 Erpirrtion Drt€: SL'Ptember 10, 2026
Form CT-3
Erpirrtior Drtci S€ptembct 3
Account lD: EDL-22285 t75_00!Lic.nle NuEbr.: I 2@264192
,1vI]f,SiAEM'SETrcTEFIRITMTTOIff EgENI'E
Retriler LiceNe for Srle of Cigerettes
Thi! liccose mu.t be posted.od visibl€ .t.ll times. Th€ sale of lobacco
producti to rnyotre ulder 2t ye.rs of.ge is prohibited.
AKHA INC
BUCKY'S
528 BUCK ISLAND RD
WEST YARMOUTH MA 0267]-]353
Accoutrt ID: CGL-22285175-003
Licetrse Numb€r: 417187E4
This ccnifies 6ar the t rpayer named above is rice[sed under Chaprer 64C ofrhe Massachuselts Geoe'scll ar Erail ar rhc address shown above. This ric€nse is .on-Ea^fe-bre and .nay te s.rspeoJea or revorfailuc to comply with slde laws and rEgulations.
I Lrws I
Ed for
EtTertive Dtt.: Octobc. l, 2025
ElIccilvc DrrG: Ociobcr 2. 202j
MASSACHUS ETTS DE PARiT'TENT OERYVEMJT=-__
R€lriler License for Srle ofElectronic Nicotine Delivery Systems
This licenie must bG posted .nd ylsible rt dl times. The ssle oftobacco products to.rtyoIre under 2l yeln of age is p.ohibit;
AKHA TNC
BUCKY'S
52t BUCK ISLAND RDWEST YARMOUTH MA 0267]-335]
Thrs ccnincs th.l rb. hrpeycr nrlrucncrEl Lrwr to s.ll clcctrlonic dcnon-trltBfcr.blc rnd rhsv bc iuE
'c rs trc6s.d under ChrFcr 64C ofuc Mlss.ruvcry systens !t rhe addrcss showtr abovc- TlrrEvored tbr tait@ to comply wirh sutc lawi:
Erpirctior Drr.