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BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
iPERMIT NUMBER: #12-145 FEE: 160.00
Imaccordance with re������ons promul���under authority of Chapter 94,Section 305A and
Chapter 111, Section�of the General Laws,a permit is hereby ganted to:
The Pancake Ma_n LTD 952 Route 28 South Yazmouth MA
Whose place of business is: The Pancake Man
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Pernut expires: December 31. 2012 BOARD OF HEALTH: �7llqq,��py.sryk(/�� �
sen'IRac: 165. 3 ����� v��
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Bruce G.Murphy,l .,CHO
Director of Health
THE COMMONWEALTH OF MASSACHUSETTS '
TOWN OF YARMOUTH �
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PERMIT NUMBER: #12-089 FEE: 60.00 �
This is to Certify that The Panca_ke M n i'1'� /a Th P n k l��an
952 Route 28 South Yazmouth MA
IS HEREBY GRANTED A
COMMON VICTUALLER'S LICENSE �
In said Town of Yazmouth and at that place only and expires December thirty-first 2012 unless I
sooner suspended or revoked for violation of the laws of the Commonwealth respecting the
licensing of common victuallers. This license is issued in conformity with the authonty granted
to the licensing authorities by General Laws, Chapter 140, and amendments thereto.
In Testimony Whereof,the undersigned have hereunto affixed theu official sigoatures, i
BOARD OF HEALTH: `•,8wai" e�ra�Oe�$�� �
SEATING: 165 �` O�
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Bruce(}. MurphY, MPH,RS. C
Director of Heakh