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Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis, MA 02601
www.tovvn.barnstable.ma.us
Pre-application for Business Certificate
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_ 1I11 o6y Parcel
Date Map
Applicant Information 1
Applicants Name 'L*e'y-
Applicants Address d�51 0 1 ;� -, 4 "'lm Address
Telephone Number Listed'[- Unlisted ❑
Business Information
New Business? ----------------------------------------- Yes No
Business is a registered corporation? ------------------------• Yes No
If yes Name of Corporation
Does business operate under the registered corporate name? Qejs No
Is the business a sole proprietorship or home occupation? --------- Yes No
If yes then a Home Occupation Registration is requiredl—See Building Division Staff
Name of Business �!
`Business Address1�IsQP�N[' .Zile A /++�> 2^ P�1 z' �f'���"�D�
Type of Business
c Building Commissioner ffice Vse Only
Conditions
Building Commissionjj� + Date
Clerk Office Use Only