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ZONING DETERMINATION FOR BUSINESS CERTIFICATE APPLICATION
The purpose ofthis form is to determine ifyour business complies with the Town ofYarmouth Zoning Bylaw. The applicant
shall complete the top section of this form and fite it with the Buitding Department. Once the nuilding Department has
made a determination, it will be forwarded to the Town Clerk. Please have your tax idcntification number anrVor vour social
security ntuuber available when complethg the applicatiolr proccss with thc Towl Clerk.
Date:Telephone:
Business Address:
The Building Deparhnent will render a determination based on the following fa ctots: (a) The business/use, activity, O) Thezoning district inv,hich the business is to be located. Allowed uses are based on Zoning Bylaw Table 202.5 and (c) previoutor new zoning relieffrom the Zoning Board oJ'Appeals.
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ofApplicant:I,.oln,,lName
DBA:e
Mailing Address:
Description of Business Activity l,/-
/44 ()
The applicant acknowledges that a determination will be made by the Building Deparment based on the informationprovided on this date. Any changes in the business use and,ior activity will require additional approval. The applicant agrees
to trons Failure to do so may result in the revocation ofthe Business Certificate and/or
appropriate Zoning En
Applicant's Signature:
ditbe that the changes are non-compliant
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E Approved: Comments and Conditions
Building Department Determination
Date:
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Disapproved: Comments and Conditions
Building Oflicial's Signature:Date:) ltX/to
TOWN OF YARMOUTH BUILDING
DEPARTMENT
I 146 Route 28, South Yarmouth, MA, 02664
(508) 398-2231 exr. 1261 Fax: (508) 398-0836
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