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Mar 18 03 11 : 00a P. 1 <br /> 5 r r•' ♦.k M1 _ �x r,F+M A 111-1 !=, '* �• •-y *•• +J' <br /> + - - Jo- .� _�� - 'i• ' � � _ •_ � .- ' .-' .. -' �,� - �' . ,f r � - <br /> - ry-- ` --� =0{+ Citi :-•_ `,. ."� •• t #; -•#� - L-@L- X <br /> } + �#�. do" F HEALTH <br /> PE 0 <br /> under Ma sa hu Laws Chaptff 40A§1 <br /> and Town of Zoning By-laws <br /> ate. <br /> On,3 <br /> To. <br /> /)JLr <br /> "mash ZoningBoard.-OfA, aal <br /> `hndergned Petitions the ni g Board o Appeals o vary, in the manner <br /> hereinafter set forth, pl. 'on the. provisions o the Zoning -� r 3 <br /> for the reasons O <br /> to thid foUowingdesm-bed premises: 4Jr 2 <br /> et�t�oner. -rc ftse,y. C <br /> L 1, - 1-I 7� 71 <br /> (Telephonae(Full aye � ddrssit <br /> -- SIA zn,3 <br /> ,-t Of 5 Vft-f �2 7 '7,'x IP2 <br /> rat Ener. P5 <br /> (Full njame) i'Address) <br /> Location of property: -!r 17t#7 I <br /> /-,Pt YfJ Zoi�ng District <br /> (House N #P:'.:`; amck, of t <br /> Assessor` s Map/Peel Number. + - <br /> � /04) Area <br /> e�ion off`Lot: 3 <br /> , <br /> (Square Feet) <br /> (Frontage) <br /> How long have.you owncd pmml3es:, <br /> what is current use of the pert <br /> Size of cidsting findings on the lot: F. <br /> Size of proposed buildi!61%,�: <br /> a of Variance requested: 0 <br /> ston of the Zoning <br /> -4�r- <br /> Al 0 A_�j - I Yz� <br /> B 'n Department? V-e <br /> Have you subttecf plays for shove to g <br /> Inas � been refused? <br /> p - <br /> ering Date set for: <br /> BuildingComm Commissioner n and it <br /> 1 do hereby state that I h eo�trx - <br /> has been determined b tthis ro' tc� does does not r" „., r the <br /> jurisdiction of the :o er at: o � MENNEENOMWEENIF 1110b <br /> , <br /> ' r�IINS , <br /> Petitioner's Signatwe <br /> Agent's Signat re Aaddress/Phone <br />