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PETITION FOR SPEC LAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date <br /> at 7tLL-) <br /> Print Zoning District <br /> Property Address.. r rZ cl/n_ K <br /> Map Parcel <br /> Petitioner Jt.. t d <Phone <br /> _) �- <br /> Owner's Name Phone ( <br /> Email M P,V n Q o 6 <br /> Is this property within the Pre-contact or the Post contact Archaeological Sensitivity areas F1 YES DNO <br /> Applying for(Cheek appropriate box(s)): <br /> 9 Accessory Apartment FICommercial []Sign E]Bed and Breakfast E]Private Non Profit <br /> El Hospital/Nursing Home El Outdoor Recreation El Indoor Recreation El Docks <br /> ElLumberyards/Landscaping E1 Automotive Repair ElDrive In E]Wireless Services ElMedical <br /> Uses E]Kennel E]Retail Sales ElEating Establishment ElOther <br /> BRIEF DESCRIPTIONI-r- , _�-<�K � I z 5 <br /> ( 0 LC 0 A A Q I <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: "iz-4- <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Scheduled Date TOWN CLERK <br /> DATE STAMP <br /> MASHPEE TOWN CLERK <br /> I NOV 2 7 2018 <br /> RECEIVED LB Y, <br />