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Vr ` <br /> f. TC)d rrt (Y*A[a sIfs pee <br /> 16 O cat 1"1 Eck Aoadk' h . <br /> ��� 5kzsjtprc,?�larssctcht�settstJG��) . <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date u4 <br /> . - Zoning District <br /> Print <br /> Property Address <br /> Map Parcel <br /> Petitioner : g - PhoneJ J 9 09Email YN�C_k C-110 <br /> �S <br /> f <br /> " <br /> Owner's Name .- ' , Phone '...,. C <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas El YES ❑NO <br /> Applyingfor (Check appropriate box(s)): <br /> ccessoryApartment ❑Commercial []Sign ❑Bed and Breakfast ❑Private NonProfit <br /> ❑HospitallNursing Home ❑Outdoor Recreation ❑ Indoor Recreation []Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retall Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION _. <br /> toA <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: U ti 1-6 4,o 'i Zcr-Ct ASNPEE rOWN C <br /> AUG 2 4 2011 <br /> RECEIVED BY k--t, <br /> MASHPEE TOWN CLERK <br /> Scheduled Date ��- d ;) s T(�" LXff <br /> K <br /> DATE STAMP <br /> RECEIVED BY <br /> Rev. 5/025/16 <br />