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., Town Mashpee <br /> LUNING BOARD OF APPEALS 16 Great Xeck &ad Xorth <br /> PETITION FOR A SPECIAL PERMIT <br /> Wa h Massachusetts, 2649 <br /> Cinder Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> To: Mashpee Zona Board of A eals Date: ` <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner. o <br /> F 1 - <br /> name (Address) (Telephone <br /> Property Owner: 01Hmro Id st., Po K&O IVA 0.21, <br /> (FuIlYame) (Address) (Telephone 4) <br /> Location of Property: Zoning District ` <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: <br /> flap 9 <9 3 Parcel <br /> Dimensions of Lot: 76,5,2_ / 00 <br /> Area 7 <br /> (Frontage) (Depth) (Square Feet) <br /> Hove long have ou owned remises? P(a-s <br /> State present use of remises: '' 1 ial <br /> State proposed use of premises: <br /> What sections of the Zoning By-laws requires the permit you seek? 7 1��_ <br /> Have you submitted plans for above to the Building Department? <br /> Dearing Date set for: <br /> I do hereby state that I have conferred with the Building Corn ; sioner on and it <br /> has been d tern ined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> Petitioner's Signature X <br /> 11 W.V L I u"V W C 0 <br /> } y � ' <br /> Agent s Sig ature Address Phone <br /> 1�01 <br /> •W# # #iw,q}4.y-fs5r("y1EC.dFr' <br /> • { ♦..+� <br />