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To 'cI e <br /> e . <br /> TG Czreat.< Fr . d�A -th <br /> '",xvu�u'� ���asFzpen,�c�sacltuseits 02649 <br /> PETITION FOR SPECS PERMIT <br /> Per MGL Chapter 40A §9 and Town.of Mashpee Zoning By Laws of 1987 <br /> Date - Zoning District <br /> Print _ <br /> Property Address <br /> Map /? Parcel <br /> Petitioner b, a g' Phone' -7 76 -1 qC Q <br /> Email <br /> Owner's Nance a` W',-t. kA 'T r— Phone <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas EYES &,hO <br /> Applying for ('heck appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial ❑Sign ❑Bed and Breakfast El Private Non Profit <br /> ❑HospitallNursing Home ❑Outdoor Recreation ❑ Indoor Recreation []Docks <br /> ❑LumberyardslLandscaping [] Automotive, Repair ❑Drive In [ Wireless Services <br /> []MedicalUses ❑Kennel ❑Retail Sales El Eating Establishment 9.0ther <br /> BRIEF DESCRIPTION C/C-j/+2 <br /> Owner's Signature or letter / —y-- <br /> Petitioner's Signature <br /> MASHPEE TOWN CLERK <br /> Mail certified copy of Decision.to:���S ? ��� � ! ,L� �.v Irl 1'Vt w` 0 C- C <br /> JUL - 7 2097 <br /> RECEIVED DY <br /> MASHPEE TOWN CLERK <br /> Scheduled Date t_.)q TO'WN CLERK <br /> RECEIVED BY. <br /> Rev.5/025/16 <br />