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V f "� <br /> Tou»n cif`MasTpee <br /> -c Road,AGr1h <br /> AM hpoe,P�fussaeha.5:01,3 0,2649 <br /> PETITION FOR A VARIANCE <br /> Per MGL Chapter 40A§10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date o 1 <br /> Print Zoning District <br /> Property Address " <br /> Map 1117 Parcel 6 <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES [A NO <br /> If YES, name of area/district/cluster <br /> Petitioner :!." 1 C . "` Phone s <br /> LO <br /> Email ae Qc L�, i o <br /> Owner's Name Phone "r � <br /> Current Use Proposed Use k'774 ` <br /> Subject: []Deck MAddition []House ❑Pool []Other <br /> Current: Lot Size _ Frontage c y � Lot Coverage.% <br /> Current: Front Set Back Side Side Rear <br /> Proposed Relief(Flntn No.): Short Frontage Short Lot Size -:lj Short Rear , <br /> S a <br /> Short Side Short Side Short Front Set Back Over Lot Coverage <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> Scheduled Date A-i p 1 TOW E TOWN CLERK <br /> DATE STAMP <br /> Rev 5/19/15 APR 1 3 7017 <br /> RECEIVED RY--LLQ <br />