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Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.bamstable.ma.us
Pre-application for Business Certificate
Date Lolow_
Map ,Parcel
Applicant Information
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Applicants Name Vi��A)' �+1 � l U n 1
Applicants Address ��7 VIM � T� ' Email Address Arru
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Telephone Number Listed ❑ Unlisted
Business Information
New Business? guSlMU 4l1sh�n Ony!_"Yes No
Business is a registered corporation? _____________ ______.Ge
If yes Name of Corporation No
Q�U�ioU g�Si►�Q. ea
Does business operate under the registered corporate name? Yes No
Is the business a sole proprietorship or home occupation? --_____ Yes No
If yes then a Home Occupation Registration is
required-See Building Division Staff
Name of Business -. pl o V 1 Y\
Business Address I �0 tnkft ACy, TY SVh Mc) t
Type of Business ( h 10A me&&,
Building Commissioner Office Use Only ( "'t"Q'�
Condition6)"
Building Commissi n ate D
Clerk Office Use Only
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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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
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DATE: V Fill in please:
E sti,; k„; ►ly..,,,1 APPLICANT'S YOUR NAME/S:
l ' `r'" `�' `' � =�4•: BUSINESS YOUR HO E ADDRESS:
.TELEPHONE # Home Tel ep hone Number
.. .
E-MAIL;
NAME OF CORPORATION-
NAME
NAME bF-NEW BUSINESS t Q ar Lq TYPE OF BUSINESS LIMe—i il� u / i 1hir�
IS THIS A HOME OCCUPATION? YES NCV
ADDRESS OF BUSINESS. !t MAP/PARCEL NUMBER -D 13 (Assessing)
When starting a now business there are several things you, 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 Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1, BUILDING COM S) ER'S OFFCG
This individu I h e inf a pan�rmiqment�pertain to this type of business.
�Autrized Signature
COMMENTS`
f `
r: -
`. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
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: