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£ l• 16 Gi al %ck 1korrrl�'ltirll t: <br /> alnshl�ee,�1rrssrzcltusetis 02649 <br /> PETITION FOR A WRITTEN FINDING <br /> Per MGL Chapter 40A §6 and Town of Mashpee Zoning By Laws of 1987 (§174-17) <br /> DateZZ _ <br /> Zoning District <br /> Print <br /> Property Address <br /> Map 0 Parcel <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES \6NO <br /> If YES, name of area/district/cluster <br /> Petitioner a con � Ct!tet /� � ��5 Phone <br /> Owner's Naive ocC � S��r�y J Cc Phone 2 —FI-1 C-7 <br /> Email (L)IU6,S S d alt i'es .- <br /> Project is a: ❑Deck RAddition []House ❑Pool ❑Other <br /> The Subject: El Raze and Replace ❑Extension ❑Change of Use ❑Alteration '❑Lot Coverage <br /> / � X lj 2 6612 <br /> []Other oft �- � C,&- �� <br /> Current Lot Coverage % Proposed Lot Coverage 61_% <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> _ . _ . _ . s . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . <br /> Scheduled Date V `a Y 01.`� TO WN CLERK <br /> 0 <br /> DATE STAMP <br /> MAR 2019 <br /> Rev.10/11/18 RECEIVED BY <br />