HomeMy WebLinkAbout0213 OCEAN STREET UNIT BLDG 1 UNIT 102 - Health 213 Ocean Street
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TOWN OF BARNSTABLE Date: ..... ....................`�
LICENSE APPLICATION El New Application
HARNSTABLE, « ❑ Renewal
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200 Main Street� a�: `�� ❑ Transfer
Hyannis, MA 02601
(508) 862-4674Other
NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES f
Name of applicanUcorporation: }ALMMI. i4�(l �c� rJ M0.f ;5A16" C" 4�=20k:, L(,c Home phone#: ,O`1 7"1�. . HL17
Business hone#:��D D. C'.�L�l-2
Address of applicanticorporation, r( ......_ w.:� .......��`1. .......IAf�Uth' ......... ..... p
..0................... W ........ at, .► ......R, ........ !L.9a+ -...... ......... ............................ . .... .............._. . ...............................................................................
D/BIA ... ...... Business phone#: '7 Lq��
Business location: ► .....<Ja6-.F.0 .Sr., ��4'#�1JCJw_ c�..� d........6t......1. . ........... ......... ...
Business mailing address: ....... nr-R�'��a......���....1'�VI�,:U Nl� MA ,"1` e0)
Local business address: 'ZIP Or-SN4J... �1....... ' ��lN.t�`�.......�rl .:....... d2�1� 1 . . ...... ....
Local mailing address: ..... ..3...............4..... �N ST ...._.1 0'.��........ ...... r�2-(�c�t
LICENSE TYPE: -..... ..i .1rt4........... CJJ ^. ^ ........1�.�.Lj-'al p',........... Annual ❑ Seasonal ❑
HOURS OF OPERATION: ly_�,r.....7:o.......1.7.....k�.�.n.s.A `FID#:.. .1�.........3`��2�:�`'t...........
Nameof manager: �....1..`('` .. ........... -t �'.. .._1C`:.............................................................................................................. eMaiL•
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Local mailing address: .................-� ��.....�.T"......�......1'�..�'�.P,?..M�.........�i�........... ........................................................................................
Manager's Permanent mailing address: 'Z\?,.........0C&\,.►. ....._..�T....._t......_htio..h1t�1� ............._!V`�1 .................../�Z6zj..l.............................__..........._................_..........._.........._..............._............._.
Manager's home phone#: �,Oe,,.*-7 ,,..,._L442v........... Business phone#: �v3__:. ..........._......_ 1. i.7�j
Name of property owner: LL� NJ �� 1 Nr�l�' i
..._.
_ _ ....._.. .. _ ....... ... .......................
ASSESSOR'S MAP/PARCEL#: MAP 2......................... PARCEL U 5... ..J. �
List any flammable substance or hazardous waste used in business(specify):
Applicants must contact the Building Commissioner' s office, (508) 862-4038,
the Board of Health office, (508) 862-4644, and the appropriate Fire District
office to schedule inspections IF 6T OPEN 8 : 30 - 4 :30 DAILY.
Signature of applicant
.......................................................................................................................................................................................•...........................•............................
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For Town use only
REAL ESTATE TAXES PAID IN FULL
PAYMENT AGREEMENT IN EFFECT ON — --
IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑
INSPECTORS APPROVAL Capacity set by Building Division_.......... .....................-.......,.__,..,,,.,._,.....,...............
Building/Zoning ........ ......... Date ............ .. ........-. Board of Health.... .. ........ ............. Date . .................................
WireDate Plumbing ........__.. .......... .............. ...................Date ............ ........ . .._........
Gas ............................._.............-................................... Date ...._........._....................................................... Fire District ......................_......................................................... Date ......................................................
Comments:
White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division