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TOWN OF MASHPEE <br /> PLAN REVIEW COMMITTEE <br /> APPLICATION FOR PLAN REVIEW AND APPROVAL <br /> FOR PROJECTS NOT REQUIRING SPECIAL PERMIT APPROVAL <br /> The undersigned hereby applies for Plan Review'and Approval under Section 174-24.B. of the <br /> Mashpee Zoning By-law. <br /> Name of Applicant Sandra Farrell Phone 508-477-3978 <br /> Address 39 Nobska Road, Mashpee, MA 02649 <br /> Owner, if different same as above Phone <br /> Address <br /> Attach copies of (a) most recent recorded deed and(b) tax bill or Assessors'certification. <br /> Deed of property recorded in Barnstable County Registry Book Page <br /> or Land Court Certificate of Title No. <br /> Location of site to be reviewed(street address if any) 39 Nobska Road <br /> Mashpee Assessors Map(s) and Block(s) Map 29 Parcel 36B <br /> Zoning District(s) in which property is located R-3 Property size <br /> Subsection(s) of Zoning By-law Section 174-25 (Table of Uses)under <br /> which the proposed use is permitted subject to Plan Review 1. (5) <br /> Present use of property Single Familv Home <br /> Proposed use of property (attach 8 copies of required plans and supporting documentation) <br /> To provide counseling services <br /> The applicant shall also transmit, by registered or certified mail; a notice of this application and <br /> the date, time and place of the Plan Review Committee meeting at which it is to be reviewed to <br /> any direct abutters (as they appear on the most recent applicable tax assessment list) and to the <br /> owners of any residence or non-residential structure any,portion of which lies within three <br /> hundred (300) feet of that portion of the structure'or:site which is the subject of this plan review <br /> and shall provide receipts for said mailings to the Building Inspector prior to the meeting. <br /> Signature of Owner or Authorized Representative Aa // <br /> If representative, attach written auth tion signed by owner. <br /> S t: 0 6— AON l <br /> Date received by Building Inspector �o <br /> H3_10 H M 01 Building Inspector or authorized repr entative <br /> 73dHSVH A0 HAA01 <br /> v <br />