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4E 4theh F$ <br /> -own Shpoe <br /> 1-4 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date 6-// ci /2 v al Zoning District -� <br /> Print <br /> Property Address f e���.�5 S ae c./ <br /> Map V Parcel <br /> Petitioner 19 a G 1,-at-a / k( N�C, Phone S d 8" 232 -OSe l <br /> Email I?) J 20 k o L/-- 6�. /�o -/-P-7 l . Go •1-3 <br /> Owner's Name m GG► c-,!�- c, Phone 5 09— 73 7 <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas OYES NNO <br /> Applying for(Check appropriate box(s)): <br /> [] Accessory Apartment []Commercial []Sign []Bed and Breakfast []Private NonProfit <br /> ❑Hospital/Nursing Home []Outdoor Recreation ❑ Indoor Recreation XRaze and Replace <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair ❑Drive In []Wireless Services []Medical <br /> Uses []Kennel []Retail Sales ❑Eating Establishment 5dOther <br /> BRIEF DESCRIPTION fie r'►OV )"ke- t/ S 20,E 2 0 1--7 <br /> xC Ado <br /> #Oa6cfie, e, 7'� � w� ties <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to:P C,-k e e� orZa.v 1,,,g c k eZ <br /> Scheduled Date ��r�, ��`� '.-- � <br /> TOWN CLERK <br /> Rev. 1118119 JUN 01 2021 <br /> HECEIVEC7 BY: W m <br />