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ClMASHPEE ZONING BOARD of APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee ZoningBy-laws of 1987 <br /> To: Mashpee Zoning Board of Appeals Date: <br /> The undersigned petitions for a Special Permit from the M shpee Zoning Board of <br /> Appeals, as required by pertinent sections of the ZoningBy-law of 1987: <br /> Petition -- , . &�A� r <br /> !7A01 <br /> (Full name) (Addi4ss) (Telephone 9) <br /> PropertyOwner: <br /> (AulAame) (Address) (Telephone # <br /> ti of Zoning District <br /> Location Property: <br /> (Housa&umber and Dame of Street) <br /> Assessor's Ma /Parcel Number: M p Parcel # <br /> 1 <br /> Dimensions of dot; Jji ,, Area y <br /> (Frontage) (Depth) (Square Peet) <br /> Hove long have you owned premises? zt. <br /> State present use of premises: 2&,t.z <br /> State proposed use of premises: _ z tat---- 4,z�t-,o/YXI, <br /> What section(s) of the Zoning -laves requires the r it u seek? - R-5- (6p <br /> Have you submitted plans for above to the BuildingDepartment? <br /> Hearing fate set for: <br /> do hereby state that I have conferred with the Building Co 'ssi ner on 5 and it <br /> has been determined that this project does m does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> ti01is Signature �F� <br /> 01 L Z C <br /> d3r <br /> • + Mw�� i J.lr <br /> F{ <br /> .,. Agent's Signature/Address/Phone 9 <br />