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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
J Map eW Parcel O I lI
Applicant Information
Applicants Name
Applicants Address 3 1 [Teo PO I F, i"1A Mao)Vk j M}l Oc� (b y.
Email Address of jq l W►1 nor / �G� �O,G • 601
Telephone Number Listed ❑ Unlisted g---
Business Information
�1 � Q
New Business? __ _SbAP, Yes
Business is a registered corporation? _____________________ . Ye No
If yes Name of Corporation
Does business operate under the registered corporate name? es� No
Is the business a sole proprietorship or home occupation? _________ Yes
If yes then a/Home Occupation Registrat�i`on,is required—See Building Division Staff
Name of Business l.,"�-�i 6 ll ►�isO �,'` I h o P
Business Address WIC, Ee d VY1 t)-1 r` P D- Gil. C (,�,� �t'�,� ,� P1 A 02(e3
Type of Business
Building ComWissioner Office Use Only `
ndit'o �
�.
Building Commissi Date
Clerk Office Use Only
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