HomeMy WebLinkAbout0010 ROLLING HITCH ROAD - Health 10 ROLLING HITCH ROAD
Centerville
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No. 42101/3 ORA
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YOU WISH TO OPEN A BUSINESS?
For Your, Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 67 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE '/ 1y/
1 ill i lease:
" APPLICANT'S YOUR NAME/S: -. Tc 1,�jr (?i'� �/�C
BU INESS YOUR HOME ADDRESS: /'/5 �� Jf�/�� /!/s, ;A /C',-L
TELEPHONE # Home Telephone Nuber >G _
m 2 �j— % � `
a. .r.M'
NAME OF CORPORATION
TYPE OF BUSINESS Q/)
IS S
ADDRESS
OCCBUSI IONUPAT C Cr YES NO
RESS OF BUSINESS /C.,.,. U p<' e-T, cic is ..✓,',tr ,MAP PARCEL NUMBER..
_ (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Stree=MISSIO
sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING C R'S OFF
This in Im uaI h mfor d of ny e mi requirements that pertain to this type of business.
MUST COMPLY WITH HOME OCCUPATION
Authqrize gn ture* RULES AND REGULATIONS. FAILURE TO
C MMEN C
--
2. BOARD OF HEALTH
This individual has be i ormed of the per ' r quire nt hat pertain to this type of business.
iz ignature*
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
TOWN OF B.ARNShTABLE 04,
LOCATION( Qt 1,) Pd . /I}(- SEWAGE #
VILLAGE ASSESSOR'S MAP 6z LOT
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INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY /Q00
LEACHING FACILITY:(type) /, ()00 Qa L (size)
NO. OF BEDROOMS 2— PRIVATE WELL OR UBLIC WATE
BUILDER OR OWNER , qL&-Z�S C A;SSQ Q,
DATE PERMIT ISSUED: °
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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