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YA TOWN OF YARMOU H O b 2025
t• Co‘, Office of the Building Corn 1146 Route 28, South Yarmout Y •�3 : . ; ;
� N�„����« 508-398-2231 ext. 1260 Fax 508-398-0836
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In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit 77(1-'77
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Name of Business A4D rale Sc Z�c-C' '�; `�c, mcA Phone # '77y 7 N 5-2.
Type of Business _ QC,� foVe --- Email, 1or(i:rC r c
Property Address 57 ��-e � Unit # --
*Square Footage to be occupie.d / / 0 4- *attach floor plan Fee: $60
The following department sign offs will be required and will be notified once the application is
entered into the OpenGov permitting system.
X Health Department - 508-398-2231 ext. 1241
X Fire Department - Fire Prevention, 96 Old Main Street, 508-398-2212
Other
Building own - ignature Applicant Signature
Please note: this permit is for use and occupancy only. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use only**
Zoning District Proposed Use Change of Use: Yes No
Allowed Use: Yes No APD Waiver: Yes No N/A
Building Officials Signature Date
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