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16 Great 4ck�kpa l 4rill <br /> Waslipee,Massacltcaseas 02649 <br /> PETITION FOR A VARIANCE <br /> Per MGL Chapter 40A §10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date 2 IZ7 /Z <br /> Print ' <br /> Zoning District <br /> Property Address <br /> Map <br /> � Parcel L <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? AES ❑NO <br /> If YES, name of area/district/cluster L( L <br /> Petitioner I®YA Phone <br /> Email <br /> Owner's Name L V1 Phone <br /> Current Use I ih Proposed Use <br /> Subject: RISeck ❑Addition ❑House ❑Pool ❑Other <br /> a <br /> Current: Lot Size Frontage I®3. 7-1+ Lot Coverage.% 4 <br /> Current: Front Set Back Side 1 , I Side Rear 46.01 <br /> Proposed Relief Requested: Frontage Lot Size /_ Rear30 <br /> .®_t�/� <br /> Side Side Front Set Back Proposed Lot Coverage % <br /> Owner's Signature or letter Alt <br /> -. <br /> Petitioner's Signature , /4 t C. <br /> Mail certified copy of Decision to: l i ( , <br /> _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . . <br /> Scheduled DatTOWN CLERK MASHPEE TOWN CLERK <br /> Date, l n,� 7 0?4/�1 DATE STAMP <br /> Rev 6/28/18 <br /> FEB 2 7 2019 <br /> RECEIVED BY----_ <br />