HomeMy WebLinkAboutBLDC-25-67 application „..;;;„„, V-41-c9
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I V E ® ` TOWN OF YARMOUTH
5* x ( ffice of the Building Commissioner
JUN 09 N614 , oute 28, South Yarmouth, MA 02664
N;;;;:n [-i JILDING DEPART -s 8 398-2231 ext. 1260 Fax 508-398-0836
In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit
Name of Business J / ,()Q f Too,o -7:1-ii-et Phone # /ly r?le'Z/_ /2 �/
Type of Business o
j/j, r �- Email ,34/0r,aM✓,ric lem inc41,P66 0'
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Property Address 5./ 7 - sV/_ re Z2 Unit # C.
*Square Footage to be occupied Z2 y s/f *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
. G
hiding owners Signa ure pplicant 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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