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F <br /> 'lawn of Mashpee <br /> 16 Grefa V ck Apad,&th <br /> �YyT�_il s <br /> "41 ` �'taslzp€e,[�Irzssc�eJatserts 02649 <br /> PETITION FOR A MINOR MODIFICATION <br /> Date "00:Z2 <br /> Zoning District <br /> Print <br /> Property Address J� 7/r� sz 6 <br /> i ��/ Phone one. <br /> Email �y / <br /> Petitioner. �U/ ;�1�/J/.' <br /> Email <br /> Owner's Name PhoneG� <br /> ZBA Original Docket Number `� �• �j <br /> Project is a: []Deck A []House ❑Other <br /> Proposed Modification <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: `c <br /> s . www . . . . . . . r.r . . . . . .r... w . . s . ... . . . . . .>. . . . . . o . r_ . e . . . <br /> / TOWN CLERK <br /> Scheduled Date ���/� �� ��� DATE STAMP <br /> MASHPEE TOWN CLERK <br /> FEB 0 8 201 <br /> Rev 2112115 <br /> RECEIVED RY <br />