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4 <br /> f i <br /> r <br /> '- Town of Mashpee ' <br /> Zoning Board of Appeals <br /> r• <br /> S. <br /> PLEASE SUMUT FORM WITH ZBA PETITION AFTER o G TAX <br /> COLLECTOR AND 911 COORDLNATOR SIGNATURES <br /> Date: <br /> Propertyaddress: <br /> .Assessor Map # Parcel <br /> I have reviewed the address. <br /> air hofs n to <br /> G nd E911 Coordinator <br /> 4-:; 01%: .3t- 4..L;C:.J6 <br /> 1 hereby attest that <br /> OWNER OF RECON <br /> is (are) the owner(s) of the above-referenced property. <br /> I hereby firth r attest that the owner of the above-citedp ropert r is not, to the bit of my <br /> knowledge, arrears ofpayment of any local taxes as may be applicable under Section I of <br /> Chapter 112 of the Mashpee Code. <br /> TreasurerCo date <br /> REVISED OCTOBER 212 = <br /> r <br />