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APPLICATION FOR PERMIT
01115
Gity or Town: Yamouth
Date:04/05/2O2L
permit Number: 102782
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 9 BASS RIVER ROAD /South Yarmouth, MA 02664
For permission to: Above Ground Tank Removal 527CMR 1 .'12.8,2
Name of Competent Operator:Eric Haikola / 9 Bass River road
Date lssued-Rejecled 04 / o6 / 202L By
Date of Expiration
Cert. No
171
BASS2OOOlO
Fee: $s0.00 I paid
(Signature of applicant)
Due
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Sec,tion 1.12.8.2.1
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