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,w,Y gown c�.f` csdipee <br /> ' 16 G?-cat -W cl,:Agad,AQ)r1la <br /> R Mac hpee,,�Irissn�c3liuserts O�G�� <br /> PE'T'ITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A§9 and Towne of Mashpee Zoning By Laws of 1987 <br /> Date_ _ pp--t r °.i tl Zoning District �T-_j <br /> Print i✓� � �a� f�� <br /> Property Address <br /> Map 0Q 60�j Parcel 1,0000}4 <br /> ?(" ,/ Phone a46e <br /> Email 00-9` A� 06,Gb 07 <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas OYES [/NO <br /> Applying for(Check appropriate box(s)): <br /> 0 Accessory Apartment ❑Commercial []Sign ❑Bed and Breakfast ❑Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑L.umberyardslL.andscaping ❑ Automotive Repair ❑Drive In []Wire ss Services <br /> []Medical Uses ❑Kennel []Retail Sales ElEating Establishment 90ther <br /> BRIEF DESCRIPTION h('(I <br /> Owner's Signature or letter 116 r Ut <br /> � <br /> Petitioner's Signature ® � <br /> J <br /> Mail certified copy of Decision to: <br /> dW Y ela• • WI Y ear a ease a Pwe e mm a mm a eaa a lane w mm • e� • ei • emal a rr• • •^ • mm e � • v • mm Y eNl <br /> Scheduled Date � ��. � � <br /> TOWN CLERK <br /> MA HPEE TOWMMAMP <br /> Rev. 3106115 APR 2 12017 <br /> RECEIVED BY <br />