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Tolman of Mashpee <br /> 10 Great AVeck load worth <br /> Nlashpee,Massachusetts 02649 <br /> PETITION FOR A VARIANCE <br /> Per MGL Chapter 40A §10 and Town of Mashpee Zoning By Laws of 1987 <br /> Date <br /> Zoning District <br /> Print <br /> Property Address \ \ n <br /> Map Z 2- Parcel S�C-i <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? DYES [ENO <br /> If YES, name of area/district/cluster <br /> Petitioner Phone - <br /> Email <br /> Owner's Name `co— La n ►d Phone <br /> Current Use Proposed Use <br /> Subject: eck ❑Addition []House []Pool ❑Other <br /> Current: Lot Size C)a U Frontage t Cam' Lot Coverage.% <br /> Current: Front Set Back ` 0' Side hG ' Side 'Z, Rear <br /> Proposed Relief Requested: Frontage Lot Size / Rear <br /> Side Z Side Front Set Back Ar I ,i Proposed Lot Coverage % <br /> Owner's Signature or letter max-zt, <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: 4 0 <br /> TOWN CLERK <br /> MASHPE IE TOWN CLERK <br /> Scheduled Date _ r _ _ DATE STAMP NOV <br /> 0 7 019 <br /> Rev 6128118 RECEIVED DY <br />