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HomeMy WebLinkAbout0089 BASSETT LANE - HAZMAT �y e 1r •1 „ } J �S t tl 1 a i it tJ �F fHE Tp� o TOWN OF BARNSTABLE Date: ...t_1...�0..�.�J.?J..... ❑ New pplication ,M,,S,AB,E ; LICENSE APPLICATION Renewal 1 . `�$ 200 Main Street Iransfer iOtEp MAC A Hyannis, MA 02601 _❑ Other 508-862-4674 ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE,ON THE PREMISES S'd ,F y 30!0 Name of a licant/cor oration: I?1 //(f , Home phone#: -4,7 7 7/51�� pP p ............../V �- --.._._._.._._._. ..... _............._._.....__...---._..._...._......_.__._.._._._ l'1 �i 01 S5 ...._.... _..._........--- _�1 S..__.._/�'� .�... Business phone#: ` / Address of applicant/corporation:..................�.-- .--.-.-..- 9.1 ----- -...__.......__._.._......_... �.....-,----........................_...--._......._..__...__..__..__..._...__.... --...._...._.........._..-----...__............----...__._._......_._...._-----------...---..... ----...-- D/B/A _.__...._.._.._._OV h O'f(._C _ .. }.f�...-r U _.. - ......._...._..._.._.... Business phone#: -- S`1 . 7-21 S.__ .. 3 s. Businesslocation: ..._._..._.._..._._...._��1...._._l� S.� ... ..�.__.................. ....._........r._�....�1/(S._....._..... .._ ......_..._...4�� _�'.4...... ......._..--......_..- ._._......._..._.__......._.. -- --— - Business mailing address: ..............._..._......._S.._19. ._` ..._....._....-..._...._.... _... _.... ... _........... ._.... .... ...... ....... ..... ........ .........___....__..._......_.......--.--.._..._..._.....__._...._..._...._..__..._.........._..._.._.........._...._.__.._....__...__..._._...__...__.._....._.._..._...----._..._.._._. Local business address: Localmailing address: _...............--......................... ._ .....{.��_......./......_.........._._._....__.....---........._...................................__...__.............................----......................._..................................................................--._.._.....__._...._..--..._.._..._....----....--..._ eT. LICENSE TYPE: ..............................�.1.h5.s........... ....l�.U.rQ.................................................................. Annual ® Seasonal 0 HOURS OF OPERATION: ............................a...."7 �._......_...._....._................ FID#: 6 3 Nameof manager: _. &�._.__.....�* . _...._......_._..._......_._........................_......._..._...._......_.......----.._..._.._...... Local mailing address: .......1/Yr....f/..... ............(!(J.f...' ......................... JS. ......................................................` ............................ Manager's Permanent mailing address: Ff/�'► Manager's home phone#: © ..,..,Va01©__.... Business phone#: ......._5' S�'_., --/ ,5 `7, Name of property owner: (1611l� SL M5 4- &D od ��Tfi�l e d( __._....__..........__...:-. .. ............_._._....... _......__.......................................... ...................._......._.__._...._..........-- --..._._............_....._ ASSESSOR'S MAP/PARCEL#: MAP SlO 8 PARCEL OW .................................................... .................................................... List any flammable substance or hazardous wa6te16sed 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 -,.� Signature of applicant �. .....................................................................................................:.............................................................................................................................................. 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 ❑. INSPECTORSAPPROVAL ..................._..._...................................................._..__......._........_............................_.......................................__...._._......_...................._.. Capacity set by Building Division......._'7.... ! ._[.........._................_..... ._. Building/Zoning............_...._.............................................................................................. Date ............................................................................... Board of Health.................................................................................................................... Date ......................................._........................................ Wire .._...._......._..........__................_...._........._.......... Date ..........................................................._.............. Plumbing ._............._....................................._........................................Date ._._.........................................._....................._.._.. Gas .............................................._............................ Date ..........................................................._................ Fire District Date ..._...._............._..............._................... Comments:.. .............................................................................................................................................................................................................................................................. White-Licensing Authority Canary-Health Division Gold-Building Commissioner ' Pink-Fire Department