HomeMy WebLinkAboutPermit - Propane Fill Station 2009 - LP Gas Tank - 4 MAIN STREET 1/21/2009 7:9
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P6(rev.3/00)
APPLICATION FOR PERMIT
City or Town WrY+k M&Ye-r DIG SAFE NUMBER
Date
I Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section i0A at S;-7_ application is hereby made
by RIU2 (ZhIM
(Full name of person,Firm or Corporation)
Address C211-b�a-
iCi 420 L 1
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is lrequested) e )I 'n QC:)P0 9-
b_ dpoA 10 0L 12UM P(-,'Qa- CQ I ar
I ' � 1/ 11- 0 t
)rah-A IA
Name of competent operator (If Applicable) A Cert. No.
Date Issued-rid By
(Signature of Applicant)
Date of expiration Fee $ Paid Due
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d/
P6(rev.3/00)
PERMIT
City orTown DIG SAFE NUMBER
Date
Star Date:
Permit Number (if applicable)
In accordance with the provisions of M.G.L.Chapter 148, as provided in 10A this permit is granted
to F- UnL4 9 --
Oain-,- n+
[��06G-Lnid &Q A Q- -r-C1,
(Full name of person,Firm or Corporation)
for � bamR , CAJAors 17-c) LP,,
4 C IrO
�Inm�Icffld cc
Restrictions: 52-77 C-�'"` RA , 59
at 94 ck-CICILP
(Give location by street and no.,or describe in such manner as to provide adequate identification of location)
Fee Paid $ This Per Kxpir, on .4
Signature of Official Granting Permit
Title
No This permit must be conspicuously posted upon the premises 411111111111