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\ j i i-0 <br /> 1E4 t,a eett-Ni r k i{c>eicC.A ortr? <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A§9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date ! 2La• 2-0 Zoning DistrictK� <br /> Print � e (�ZaW�q <br /> Property Address South <br /> Map L-�_ Parcel <br /> �/ V� -114 - 2-Cog, 1 Z&3 <br /> Petitioner < I i � A m r Phone <br /> Email ! U o o <br /> Owner's Name YQ n m Gi d,w r <br /> emno Phone 194, 2_(A g 1 Z9'3 <br /> Is this property within the Pre-contact or the Post-contact Archaeological Sensitivity areas El YES VNO <br /> AVAccessory <br /> lying for(Check appropriate hox(s)): <br /> Apartment ❑Commercial ❑Sign []Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home El Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In []Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retail Sales El Eating Establishment ❑Other <br /> BRIEF DESCRIPTION UOUno A-0_ Cf 1 t Y1ue., -Vn UV, <br /> )n(I Lim 4. <br /> Owner's Signature orletter <br /> Petitioner's Signature <br /> Ka n (Inct Adorn f O-ng l�c�ri b /n� <br /> Mail certified copy of Decision to: I u� 1✓ I� 2(09 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> CLERK <br /> Scheduled Date `t _ DATE STAMP <br /> NIASHPEE TOWN CLERK <br /> Rev.5/025/16 <br /> DEC - 5 2018 <br /> RECEIVED BYLIN- c � <br />