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BOARD OF HEALTH
PERMIT T4 OPERATE A FOOI3 ESTABLISHMENT
FERMIT NUMBER: #1 t-037 FEE: S30.04
In accordance with reg�dations promulgated under aathority of Chapter 44,Section 305A and Chapter
111,Section S uPthe Genera]Laws,a petmit is hereby¢santed to:
Cape Cod Chiid I?evelopmeni 36? Route 28 Sauth Yannouth MA
Whose place of business is: West Yumauth PreschaaT
Type ofbusiness: Nan-Profrt Food Service
Tp operate a food establishrnent in: Town of Yarmouth
Permit e�cpires: DeCember 31. 201 I BOARD OF HEALTH: J�'K[att✓�Ka�'in,fon-Smit�, �lz`Ua►blut
`.!J�/'� ��e/s��,�.J`)qtetgtt�e��u�u�,Fft�,��`11ice Cql�ia���i�xman
Restrictions: � I`o fryolutor tio tKill. WGu�G44lf/�tp 1... S!(lNff(�..IIIj I.fAG'F![
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RTove�uber 17.201�
Bruce G. Mwphy,M S.,CHO
I}imetor of Health