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5. <br /> Lry Town ofMashpee <br /> >�G <br /> 16 Great J*ck AgadWorth <br /> Nfaslyxe,Wassachuseh moem) <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date <br /> Zoning District <br /> Print <br /> Property Address <br /> Map 006041.... Parcel A000Y4 <br /> Petitioner -t a <br /> Phone <br /> S <br /> Email U lP , 00g , A X113',C6 <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas Ll YES I../NO <br /> 1. <br /> Applying for (Check appropriate box(s)): <br /> 9 Accessory Apartment []Commercial ❑Sign []Bed and Breakfast ❑Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑lumberyards/landscaping ❑ Automotive Repair ❑Drive in ❑Wireless Services <br /> ❑Medical Uses []Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> n 1 <br /> BRIEF DESCRIPTION �A 1 �� ,I,I,, -I h )G 0 Cr a rd wenA 4O T)e ���� C �" ��iQ V' )5-- P°� <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: / b n4 A� 12 A4 / lx k OV 6e T <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Scheduled Date F i c' - MABHPAAK <br /> J <br /> Rev. 3106115 UN 2 1 2016 <br /> RECEIVED BY <br />