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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:oa /oL/2023
Permit Number: 103208
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
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Address: 480 BUCK ISLAND ROAD /Yarmouth Water Depusouth
For permission to: Permit to store combustable liquids '1.12.8.40
Name of Competent Operator: Diesal Generatelbl clllllhone tower
Date lssued-Rejecled OB / OL/ 2023
Cert. No
Fee: 950.00 $ paid
Ciln lure ofapplicanlf
Due
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PERMIT
City or Town: Yarmouth
Date:08/02/2023
Permit Number (if applicable) -. . 3? 4.,
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Diesal Generator for cell phone tower
For permission to: Permit to store combustable liquids 1 .12.8.40
Restractions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes,
Notify YFD before and after work is complete.
At 480 BUCK ISLAND ROAD /Yarmouth water Depusouth
DIG SAFE NUMBER
Start Date:
Fee Paid $rmit will expire on -/as50.00
Signature of Official Granting Permit lt,This
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This permit must be conspicuously posted upon the premises
By
Date of Expiration:
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