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"y <br /> own of Mash19'e' i? <br /> 16.Grdat Xeck:toad AGH)i <br /> ,J'Washpee,MissizehusetW 6,8649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date Zoning District <br /> Print Property Address ` , SA iy T U1`T 4--/A A11E <br /> Map Parcel Z- Z`f 23 <br /> Petitioner k16 t///r•' Ptq V/a 'Phone 2-ys 0 J q <br /> Email M V/Qom- CH41erifI2 ... vC i <br /> Owner's Name L11A11 l_1 PA V1 0 Phone !� O Z -4--- �V 9 l9" <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas El YES IRNO <br /> Applying for (Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial ❑Sign ❑Bed and Breakfast ❑Private Non Profit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation VIRaze and Replace <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In ❑Wireless Services ❑Medical <br /> Uses - ❑Kennel ❑Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION /z T/ ri D/-j /S _ re R A-zL/Z ,g U/c-p <br /> FkE )rjs7TtN6 <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: � v/�' /1 1plI tJ/,o f 6 110A/erle/IDGJz /eeA O <br /> . ._ . _ . _ . _ . _ . . . ._ . _ . _ . _ . ... . _ . _ . _ . _ . _. . ._ . _ . _ . _ . .�/S��/ <br /> Scheduled Date <br /> TOWN CLERK <br /> � z���'� � �°� �"���� DATE STAMP <br /> (OOWN CLERK <br /> Rev. 1/18/19 JUN 2 8 2(]1g <br /> RECEIVED Y <br />