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hp ee <br /> �\ 76:G eal.� £cl= orrr 4r�r X17 <br /> �",.Mos. � <br /> _ �- t�'Icishprnl�riss�rc°ttt�scatts.(1����3` <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 Parcel Lo <br /> Petitioner Phone <br /> Email <br /> Owner's Narne �, t 1 k-4 <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas ❑YES ❑NO <br /> Applying for(Cheek appropriate box(s)): <br /> H--AccessoryApartment ❑Commercial []Sign ❑Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home El Outdoor Recreation ❑ Indoor Recreation El Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTIONS-�"�' <br /> Owner's Signature or lette ; <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> . . . . . . . rr. . . . . . . . . . . . . . . . . . .rw . ..r . . . . . . . . . . . . . <br /> Scheduled Date PC a Dot D� WN CLERIC <br /> 1 8 X018 <br /> Rev. 51025116 JUL f , � <br /> RECEIVED RY v`'3 <br />