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OCT 0 2017 <br /> Quin of 1ccsl �ev 5 <br /> ,Q <br /> 16 Gk!({,ncuf G l ai aI V <br /> _ yi�r� ?Y1as7��7�e;Yfossarliusnrts 0�649 <br /> PETITION FOR A VARIANCE <br /> Per MGL.Chapter 40A§10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date /_�4& <br /> Print Zoning District <br /> Property Address �' <br /> S <br /> Map /7,6 Parcel :5-o T r 0 <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES XNO <br /> If YES, name of arealdistricticluster <br /> Petitioner Phone Sed' 9'541' 4�/d�' <br /> Email <br /> Owner's Name Phone <br /> Current Use . Proposed Use <br /> Subject: ❑Deck ❑Addition []House ❑Pool 1?0se�ther cJ <br /> Current: Lot Size � Frontage /Gti7 Lot Coverage.% <br /> Current:Front Set Back Q Side A; Side Sge _ Rear 72 <br /> Proposed Relief Requested: Frontage Lot Size Rear <br /> Side Side Front Set Back Over Lot Coverage <br /> f <br /> Owner's Signature or lett <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: d... _S�Z� <br /> J /�J� <br /> Scheduled Date A O Q ", (7 TOWN CLE <br /> � <br /> DATE STA SHP 6 TOWN <br /> CLERK <br /> Rev 4105116 OCT _ 4 2017 <br /> RECEIVED BY <br /> k c.fig' <br />