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APPLICATION FOR PERMIT
City or Town:
Oate:
Yarmouth
05/ o7 / 2OL3
permit Number: 101285
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 30 Bentbluff Ln /South Yarmouth, MA 02664
For permission to: lnstall Propane Tank
Eastern Propane
Date lssued-ReJecled 05/07 /2OL3
Date of Expiration
Cert. No
By
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Due
115
308E01
Fee: Sso.00 $ paid
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