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j <br /> a r p <br /> 4 <br /> , <br /> r. <br /> hp <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date p ® Zoning District <br /> Print , � 1"a o tNe�S�C.� ...�5'�a►'y t� 1 C o�l.� <br /> Property Address <br /> Map 0®5 Parcel a C 5 - ® 00 ,FW f R®ed A �V,S <br /> Petitioner Ito 10 r�1CS�,t'� ]$k-j 1 ROkJ 1 0' rOA Phone (500 W3G " '100 <br /> � (r('7ow1 q411 w <br /> Email <br /> Owner's Name �O TS' R° oPhone (50 � y.70" /?a O <br /> Jaw <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas 1__IYES { NO <br /> Applying for (Check appropriate box(s)): <br /> Accessory Apartment I_.l Commercial ,'--']Sign t I Bed and Breakfast C !Private NonProfit <br /> I=1 Hospital/Nursing Home [-I Outdoor Recreation � I Indoor Recreation F-fRaze and Replace <br /> F ILumberyards/Landscaping 0 Automotive Repair [Drive in 1---IWireless Services C1Medical <br /> Uses C IKennel ( 1Retail Sales t.lEating Establishment I lOther <br /> BRIEF DESCRIPTION P�'►4� o'�V- Ce S ( `zt- "j <br /> ®�cG��°��,�� D ►lip L,,'d VVet4J <br /> Owner's Signature or lette <br /> Petitioner's Signature <br /> Mail certified copy of Decision t <br /> O i�vLL 4 L1 �� <br /> TOWN CLERK <br /> Scheduled Date 0 <br /> _ a o — DATE STAMP <br /> MASHPEE OWN CLERK <br /> Rev. 1118119 JUN 2 6 2020 <br /> AMEIVED BY: _9 <br />