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�� �r• IG Ona '0cck ({t;cic'- Rev 3/03/15 <br /> \tsr: i?-" r'l]C1S71�)l:'F'. i��i1S5Cd('{lid.Y('tl.S 1 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 44A§9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date Zoning District <br /> Print <br /> Property Address � 4 ` 7S kCS Cs<(ZC LL <br /> Map Parcel <br /> Petitioner 1 tc c L• �AC' _ Phone '6 <br /> Emailt <br /> Owner's Name�gJ Phone t tS' b - C_ �C1(0�- <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas OYES XN 0 <br /> Applying for (Check appropriate hox(s)): <br /> XAccessory Apartment OCommercial OSign OBed and Breakfast OPrivate NonProfit <br /> OHospital/Nursing Home OOutdoor Recreation O Indoor Recreation ODocks OLumberyardsl <br /> Landscaping O Automotive Repair ODrive In OVVireless Services Medical Uses OKennel <br /> ORetail Sales OEating Establishment OOther <br /> BRIEF DESCRIPTION <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> c� MASHPEE TOWN C1 F=RK <br /> . . ■ . . . ■ ■.. ■ . ■ ... ■ r. . . . . ■ . ■ �. . �. ■ w. ■ . ■ wN%.—. L2W I— ■ rr ■ � ■ i <br /> RECEIVED BY �� <br />