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Town of Mashpee60 ,, \I <br /> G <br /> 16 Great..Neck 9�oad JVorth <br /> ���- Alashpee,]Ylassaehusetts 02649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date (2"I- Zoning District R <br /> Print 10-� 'v,�(•-I, ti 5(A P(V L Property Address <br /> Map Parcel G <br /> Petitioner 4- i,, 6,- %1 - 6-- Phone c363 <br /> Email d Utz yl L Lj k,,-- t,&,,, <br /> Owner's Name aid ►t- e- 1 E/e oh`e C16 3(-,P—7 2,V 'v✓�'b� <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas El YES ❑NO <br /> Applyingfor (Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial ❑Sign []Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation []Raze and Replace <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair El Drive In ❑Wireless Services []Medical <br /> Uses ❑Kennel []Retail Sales []Eating Establishment ❑Other <br /> BRIEF DESCRIPTION ,J'rc.c.. e,k c.(c Q <br /> Owner's Signature or letter ez <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> Selo 1�taAo 9r-� o It, t4 C>)60 l <br /> _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ . . <br /> Scheduled Date ! f m k- r- (, O a 0 TOWN CLERK <br /> DATE STAMP <br /> MASHPEE T0VVN CLERK <br /> Rev. 1118119 <br /> OCT 0 7 2020 <br /> RECEIVED BY:— N-N\ <br />