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< . u I.Own Of l�c�s�pee <br /> 16 Gr eat X6, 6ddJI01d1 . <br /> iYlashpee,.Massachuietts 02964 .. <br /> PETITION FOR A VARIANCE <br /> Per MGL Chapter 40A §10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date o� a <br /> Zoning District <br /> Print _ <br /> Property Address , �� lL1 � <br /> Map Parcel <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES 0N <br /> If YES, name of area/district/cluster <br /> Petitioner l cL— E aso- Phone <br /> Email 4JV LCL! G �� <br /> r <br /> Owner's Name C `C 41 ' Phone <br /> Current Use Proposed Use ewD&V Jq <br /> O Subject: []Deck ❑Addition Nouse []Pool ❑Other � fl D M, <br /> Current: Lot Size Frontage Lot Coverage % <br /> Current: Front Set Back Side Side Rear <br /> Proposed Relief(Fitt in No.): Short Frontage _.� Short Lot Size Short Rear <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 /> 621/1 CSA <br /> /W S' M4 025 i <br /> ! • IIIIMN ■ ! i ! ■ ! ■ ! • ! s ! ■ - ■ ! ■ ! ■rY Y - ■ ! ■ ! • ! Y ! ■ ! ■ ! • ! ■ ! i <br /> Towle CLER1<MASVJPEE"SOWN CLERK <br /> Scheduled Date I DATE STAMP <br /> Rev 5119/15 <br /> REORNED <br />