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16 Gr•eol JV ck Road ,N�rth <br /> Iasflhec?;Massachusetts O'3049 <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 <br /> Property Address <br /> Map Parcel <br /> Petitioner -R C A E'eC,,Vl-► -- e4 4 CfG 6 c� Phone �g' LAC <br /> Email t-Cl kU @ fZCAF- r-,7,1C,, C'OM <br /> Owner's Name �(al\C'C►�l �' Phone 6cf. &`"? (0 `6& <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas El YES ❑NO <br /> applying far(Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial IDSign ❑Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home [I Outdoor Recreation ❑ Indoor Recreation El Raze and'Replace <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In []Wireless Services [I Medical <br /> Uses []Kennel []Retail Sales ❑Eating Establishment ❑Other <br /> BRIEF DESCRIPTION , <br /> r <br /> Owner's Signature or letter <br /> g — <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> TOWN CLERK <br /> Scheduled Date �' ._ C�-� ° DATE STAMP <br /> . M A TOWN CLERK <br /> Rev. 1118119 FEB 22 0 2020 <br /> RECEIVE®BY; 1) <br />