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-ck &oad r1h <br /> ZONING BOARD OF APPEALS <br /> PETITIONER CHECKLIST <br /> The ZBA office will be unable to process your Petition(s) until all of the proper documents <br /> have been completed and submitted. The completed checklist (below) along with Board <br /> of Health and Conservation Commission signatures are required prior to filing your <br /> Petition(s) with the Town Clerk. <br /> M/Three (3) copies of completed Petition(s)filed with Town Clerk: <br /> One (1) copy for Town Clerk. � p,&&Utg-(W Ifty <br /> Two (2) copies for the ZBA office./ <br /> 13/Filing Fee: $125 for Residential Petitions. $250 for Commercial Petitions. <br /> .,/ <br /> LM Three (3) sets of engineered site plans, <br /> EV21" ddress/Tax Collector worksheet. W-41 U-�YL 46W 62n-1230)zog) <br /> Co <br /> Copy of Deed with Registry of Deeds Title Reference and/or Certificate of Title, <br /> Land Court, Plan Numbers. VJ+lUdl— �. �—Wj <br /> Project Address:— 92�) PA L-11i 6 c.l�4 1&'-9 0 A D <br /> Cite appropriate By-Law(s) fil C,I, 0-, V E §"2 l <br /> Is the property located Within a cluster subdivision? EYES F_ NO <br /> Is property located within a Special Permit area/Overlay District? OYES DNO <br /> If YES, name of area/district <br /> Bldg. Commissioner: <br /> Signature Date <br /> W-4-1 LIL97— 94-.��q dl &-TIM- <br /> P;Board of Health: <br /> Signature Date <br /> Conservation Commission jurisdiction., DYES 01 NO <br /> Conservation Agent's <br /> Signature Date <br /> TOWN OF MASHPEE BY-LAWS§112-1.Authority to Deny or Revoke;Cause:Any board,officer,committee or department may <br /> deny any application for or revoke or suspend any local license or permit,including renewals and transfers,for any person, <br /> corporation or business enterprise who has neglected or refused to pay any local taxes,fees assessments,betterments or any <br /> other municipal charges,or with respect to any activity,event or other matter which Is subject of such license or permit and which <br /> activity,event or matter is carried out or exercised or Is to be carried out or exercised on or about any real estate whose owner has <br /> neglected or refused to pay any local taxes,fees,assessments,betterments or any other municipal charges. History:Amended 10- <br /> 6-1997,ATM,Article 24,approved by Attorney General 3-9-1998. Rev 3103115 <br />