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las <br /> T- own Of <br /> R <br /> 16 C; el:*Irccl�,'iw ilt: <br /> Rvie:u''•'� -Waslpoc-,Afassachitsetts 0264) <br /> PETITION FOR A MODIFICATION <br /> Date June, 2017 <br /> Zoning District: R-5 <br /> Print <br /> Property Address 37 Center Street Mashpee, MA <br /> Map: 36 Parcel: 47 D <br /> Petitioner Phone <br /> Email .4 � ems' <br /> t <br /> Owner's Nam <br /> �' i� �)� C Phone <br /> ZBA Ori inal Docket Number: SP-04-126 & SP-03-150, Comprehensive Permit Decision filed at <br /> Barnstable Land Court Bk: 19110 Pg. 313, dated 10-06-2004, and the Modification Doc: 986675 dated: 11- <br /> 23-2004 and. <br /> Projectisa: ❑Deck ❑Addition ❑House 4 Other <br /> Proposed Modification: <br /> Modification to the moderate housing restriction set forth in a Comprehensive Permit issued in 2004 <br /> under G.L. c. 40B. <br /> Owner's Signature or letter � `� <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: 37 -7 C,�, S€Y N <br /> . . . . .., . _ . ... . _ . . . .,, . _ . ... . . . _ . ... . _ . . . . . _ . ...� . <br /> TOWN CLERK <br /> Scheduled Date Wednesday, June 28 2017 DATE STAMP <br /> MASHPEE TOWN CLERK <br /> JUN 0 9 2017 <br /> RECEIVED BY ' <br /> Rev 6105115 <br />