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C, <br /> Now <br /> Town of Mashpee <br /> 16 Creat )Veck�padAlbrth <br /> Alaslipee,Massachusetts 02649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date zj Zoning District 1�1-3 <br /> Print <br /> Property Address <br /> Map lZ-, Parcel <br /> Petitioner_CA LL- Phone <br /> Email <br /> Owner's Name XmLL : ° �LusTjr-L AX:itl Phone <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas DYES XN <br /> Applying for (Check appropriate box(s)): <br /> El Accessory Apartment ElCommercial E]Sign E]Bed and Breakfast ElPrivate NonProfit <br /> El Hospital/Nursing Home DOutdoor Recreation D Indoor Recreation 31,Docks <br /> []Lumberyards/Landscaping [I Automotive Repair ElDrive In E]Wireless Services <br /> ElMedical Uses E]Kennel E]Retail Sales ElEating Establishment DOther <br /> BRIEF DESCRIPTION ('G Lk,L Z_AAAL <br /> AQ, <br /> Owner's Signature or le <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> -2 .0 <br /> . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Scheduled Date no r)L)gL,.4 9 do I TOWN CLERK <br /> f DATE StAUMPEE,To. <br /> Rev.51025116 3 all <br /> RECEIVED By <br />