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,cry TOI•l%n c.��f����c�s��,���n <br /> 16 Great N-fckApue ,4QOh: <br /> dash ce;Massachcr.sc1115 02640. <br /> StuE N <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date & /Z 17 Zoning District <br /> Print <br /> Property Address - ,A'Aid IV, <br /> Map f Parcel <br /> Petitioner Z-7z,61 d r 14 V,41v 1 Phone-,5-0 Y - K.3 - 1 <br /> Email 0_43 rn p4v?uj T` C Y}'I Gt I L. o yn <br /> Owner's Name LI 0A-U, /1/1 Phone " L 3 b <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas EJ YES WNO <br /> Applying for(Check appropriate hox(s)): <br /> D<AccessoryApartment ❑Commercial ❑Sign ❑Bed and Breakfast ❑Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation []Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair L1 Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel []Retail Sales ❑Eating Establishment []Other <br /> BRIEF DESCRIPTION <br /> Owners Signature or letter �. <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: z�la'o T 14V,4N( 1 n S-1 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . - . _ . _ . _ . _ . - . - . _ . <br /> MgggjP&CLERK <br /> Scheduled Date <br /> Rev. 5/025/16 <br /> RECEIVED BY 4' `- 5 <br />