HomeMy WebLinkAbout0054 CEDAR STREET (13) �'� C_'��--.sue - �00.3
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TO ALL NEW BUSINESS OWNERS
DATE:
Fill in please:
APPLtCAtVT'S ;a . :y;. YOUR NAME: 116 �
BUSINESS - - YOUR HOME ADORESS_ 9 con x CT-4
TELEPHONE = Telephone Number Home
NAME OF NEW BUSING TYPE OF BUSINESS Au la a fZ r;'5 -g-r
IS THIS A HOME OCCUPATION? YES N
Have you been given approval from the wilding dhAsion? YE NO[�
AD13RESS OF BUSINESS t G£ `1AFf7' 4 ,'S JfA- 6ai MAP/PARCEL NUMBER
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. Once you have obtained the required signatures,listed
below,you-nay apply for a business certificate at the Town Clerk's Office(Ist floor-Town Hall)or if you get the business certificate first you MUST go to
the following office to make sure you have all the required permits and licenses..
GO TO 200 Maim St - (corner of Yarmouth Rd.&Main Street)and you will find the following offices.
1. BUILDING COMMISSIONE OFFICE
\, This individual has n info of any permit requirements that pertain to this type of business.
tx
uthnrized Si nature* s
COMMENTS:
2. BOARD OF HEALTH
This individual has bar informed of the permit requirements that pertain to this type of business.
Authorized Sig e*
i COMMENTS:
.t..J
ti 3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has n info'r e►f ers�j nNquirements that pertain to this type of business.
COMMENTS: Authorized Signature*
�
Business certificates(apt$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town(which you must do by M.G.L.
-it does not give you permission to aerate-you roust get than through completion of the processes from the various departments involved.
*S16 WIRES APFl19 VAt FWA SV61AE-W C°ER"Fil rATE Oft Y.
TOWN VT BL' RNSTABLE
MASSACLJSETTSr '1•';-:` _ C'. . .`�
BUSINEM CERTIFICATE
ATE ISSUED: 11/1412003 DATE RENEWED: ` ' ':,':f } ;,I, 9: f
OOK 189 RENEWAL BOOK: RENEWAL PAGE.
PAGE. 03-329 DATE DISCONTINUED:
CERTIFICATE EXPIRES! 11/14/2007 DISCONTINUED BOOK: DISCONTINUED PAGE!
In conformity with the provisions of Chapter One Hundred and Ten(110). Section Five(5)of the General Laws,as amended, the
undersigned hereby declare(s)that a business is conducted under the title below,located as shown,by the following named person,persons
or corporation;
FERREIRA'S AUTO REPAID
MAILING ADDRESS: 54 CEDAR ST HYANNIS,MA 02601
TIMOTHY J FERREIRA 7 COOK CIRCLE HYANNIS,MA 02601
Signatures:
THE ABOVE NAMED PERSON(S)PERSONALLY APPEARED BEFORE ME AND)IADE OATH TUAT THE FOREGOING
STATEMENT IS TRUE. !�
} Ti lb t
Identification Presented:
DATE: November 14,2003
PLEASE NOTE: IT IS THE RESPONSIBILITY OF THE APPLICANT TO OBTAIN ANY LICENSES AND PERMITS REQUIRED BY THE
BUILDING,.HEALTH AND CONSUMER AFFAIRS DEPARTMENTS FOR THE LEGAL OPERATION OF THIS BUSINESS IN THE TOWN,
CONDITIONS; FOLLOW GROUND WATER PROTECTION RULES
In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of the Mass Gt=ral Laws,Business
Certificates shall be in effect for four years from the date of issue and shall he renewed each four years thereafter. A statement under oath
n'wst be tiled with the city cleric upon discontinuitag, retiring or withdrawing from such business or partnership. .
Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during
regular busiaess hours to any person who has purchased goods or services from such business.
Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues.
CERTIFICATION CLAUSE
[certify under the penalties of perjury that I,to the best of my knowledge and belief, have filed all state tax returns and.paid all state
taxes require and r law.
Signat re f dividual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable)
"# or,Federal ID Number
This license will not be issued unless this certification clause is signed by the applicant.
*w Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met Lax filing
or tax payment obligations. Licensees who tail to correct tbeir non-filing or delinquency will be subject to license suspension or revocation.
Tl;i�reauest i5 made under the authority of Blass.G.L. Cha 62C,S. 49A.