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tML <br /> 9 own of Mashpee <br /> 16 Great ffvck T(oad J1Iorth <br /> u Washpee,Massachusetts 02640 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> �cIU <br /> Date Zoning District <br /> Print <br /> Property Address Cr t �e_, <br /> Map Parcel <br /> Petitioner_&A e ad Con ka Lk(5,--z )C . Phone C/p (}�[}�-7 7 Er0 3 <br /> I `` ra..�,rr�-7 �a�f,f 1-6-w I�r <br /> Email _('��(� l/i C� �-�_�C�cW��r''__Iaw• Ccscr� <br /> Applying for(Check appropriate box(s)): <br /> [] Accessory Apartment Acommercial []Sign ❑Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation []Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair []Drive In ❑Wireless Services ❑Medical <br /> Uses ❑Kennel ❑Retail Sales ❑Eatinlg-Esltablishment ❑Other <br /> BRIEF DESCRIPTION �e <br /> Owner's Signature or letter <br /> -4�L 15 f A-e JA Y"e-ew Y,r-t <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> Scheduled Date t Y X i � TOWN CLERK <br /> DATE STAMP <br /> Rev.8112116 MASHPEE TOWN CLERK <br /> SEP 2 8 2018 <br /> RECEIVED BY <br />