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shpee <br /> yTO I - <br /> 4 :lff Gt'ecti=;ilrcknac{ `art#t <br /> r a�IasJt gin,,z�lass <br /> ac.hus( .5 026 9. <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date,�a�3 Zoning District <br /> Print <br /> Property Address C U CA_ t, <br /> Map 0 Parcel LO t� <br /> Petitioner c �� Phone <br /> Email <br /> Owner's Name 4z a Phone <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas DYES ❑NO <br /> Applying for(Check appropriate box(s)): <br /> AccessoryApartment ❑Commercial []Sign []Bed and Breakfast ❑Private Nonprofit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑LumberyardslLandscaping .❑ Automotive Repair ❑Drive In []Wireless Services <br /> []Medical Uses ❑Kennel []Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION <br /> Owner's Signature or letter <br /> Petitioner's Signature = <br /> Mail certified copy of Decision to: <br /> _ MASHPEE TOWN CLtWN CLERK <br /> Scheduled Date '° �� f DATE STAMP <br /> OCT - 2 2017 <br /> Rev.5/025/16 <br /> RECEIVED BY <br />