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0 <br /> ro <br /> • ,tit.tt��ti V�J <br /> Town of MashpeeAPPLICATION <br /> PLAN <br /> f r <br /> l � <br /> r <br /> =� 1Application humber <br /> REVIEW <br /> r • <br /> ,.• .;,;� Checked by <br /> '��•-� ti,•..,• Date <br /> fit, <br /> Applicant a4__1_L � �_ ���, <br /> _ � Day Phone <br /> Applicant's Address <br /> Of <br /> Representative(if any) r3_. <br /> . � Y <br /> Da Phone 2 7 a <br /> Representative's Address ��� -- v� A-) i <br /> Property Owner(if other than applicant) - r Day Phone <br /> Owners Address - - a'I?,;" te a Ca C/ - <br /> Please indicate if all correspondence is to de sent to -7 the applicant the representative the property owner. <br /> What do you want to do? <br /> What is your final goal? �, :. <br /> -� C)LLL <br /> Project Address o/"AY)4(,-X,-,7 <br /> a v d <br /> Name of tract,development or business 4.7 r:-3 <br /> Legal Description: Lot Block Bract <br /> As5es5or'S Parcel Number Present gone/G.P. Designation <br /> '.APPLICANTIREPRESENTATIVE: f have reviewed this com- PROPERTY OWN _ERlAUTHORIZED AGENT, l have rear <br /> oleted application and the attached material. The information pro- completed application and consent to its filing. <br /> -`�tCed is accurate. l understand the city might not approve what l'm <br /> applying for. or might set conditions of approval. <br /> 4v� <br /> d Date <br /> Sirnea <br /> bale <br /> ;r <br /> Yt•• <br /> ��F+ <br /> Received by Date <br /> Receipt Na <br /> ;: . Permit approved by Date <br /> Comments <br /> M`' <br /> L <br /> 1 <br /> '! l <br /> 11 <br />