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THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMITNUMBER: #13-003 FEE: $60.00
This is to Certify that Cane Crust d/b/a Bass River Pizza
1311 Route 28, South Yarmouth, MA
IS HEREBY GRANTED A
COMMON VICTUALLER'S LICENSE
In said Town of Yarmouth and at that place only and expires December thirty-fust 2013 unless
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 authority granted to
the licensing authorities by General Laws, Chapter 140, and amendments thereto.
In Testimony Whereof, the undersigned have hereunto �xed their official signatures.
BOARD OF HEALTH: J aruya l7aigneau�l C'Fiabcman
senT[NG: 36 .3�iP,�Cvi[l.`J3o4Pe�.N�.`�., 4JiCe
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November 6,2012
Bruce G. Murphy,MP , . ., CHO
Director of Health
TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #13-005 FEE: $85.00
In accordance with regulations promulgated under authority of Chapter 94, Section 305A and
Chapter I 11, Section 5 of the General Laws,a permit is hereby granted to:
Cape Crust 1311 Route 28 South Yarmouth MA
Whose place of business is: Bass River Pizza
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31, 2013 BOARD oF HEALTH: � `.vingneau�t, NPccuxm' cuy
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November 6.2012 �
Bruce G. Murphy,MPH,R. ., O
Director of Health