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Town of-Wc shpee <br /> 16 C i eat Veck-Itoud '1bah <br /> s, � "lasJzpee, <br /> 02649 <br /> PETITION <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date l It Zoning District <br /> Print <br /> Property Address <br /> Map 2 � Parcel 419 5-b <br /> Petitioner F To P f "t � ►�(1���lSS 0. Phone G-0 <br /> Email (k r SS h�r YL 'r CQ't S S a�Lo d A cGvV <br /> Owner's Name ( ©2N 6- Phone G0�— ct ( q- R 7 j <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas El YES ❑NO <br /> Applying for(Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial ❑Sign []Bed and Breakfast El Private Non Profit <br /> ❑Hospital/Nursing Home []Outdoor Recreation ❑ Indoor Recreation XRaze and Replace <br /> ❑Lumberyards/Landscaping ElAutomotive Repair ❑Drive In []Wireless Services []Medical <br /> Uses ❑Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION � , (,Ct ���' c0e e, (9t &Le-� 0 <br /> r S 1 J'(l I YL.Ot` Y� f OLJ <br /> Owner's Signatureor <br /> Petitioner's Signat e <br /> Mail certified copy of Decision to: <br /> Scheduled DateTOWN CLERK <br /> ,tc'1� -7L DATE STAMP <br /> MASHPEE TOWN CLERK <br /> Rev. 1/18/19 FER _ 7 2019 <br /> RECEIVED BY <br />