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} ,f C <br /> / <br /> a S, <br /> Etta i t i'il, 0-'.l i4,1 <br /> r L0 <br /> PETITIONA VARUNCE <br /> Per MGL Chapter 40A §10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date . �,� � ,/ <br /> Print Zoning District A 3 <br /> Property Address 6x;Z <br /> Map ?a Parcel �7<3 <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? ❑YES WNO <br /> If YES, name of area/district/cluster <br /> Petitioner Phone !1 <br /> Emailr7�s".�v� <br /> Owner's Name� j-_� lir G�6 C�!c Phone <br /> Current Use Proposed Use �z� <br /> V <br /> Subject: []Deck ❑Addition 0 House []Pool ❑Other arcs <br /> Current: Lot Size /� 5"6� Frontage i9Z44 7 Lot Coverage.% <br /> Current: Front Set Back _k Side Side Rear <br /> Proposed Relief Requested: Frontage_ Lot Size Rear <br /> Side Side Front Set Back_r Proposed Lot Coverage t =`~ % <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: 7Gll����i�c�ici�' S°��G�+.��v ,/. <br /> IZA <br /> ® o ® o ® e o e ® a ® o ® . ® e ® e ® e . . . ® e ® a ® a ® o , <br /> "x TOWN CLERK <br /> Scheduled Date �)e Iy F . <br /> E � DATE STAMP <br /> Rev 6128118 <br /> MAY 0rZRI <br />