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r <br /> ��.v(mV <br /> Town of Masi <br /> .� <br /> APPLICATION <br /> t Wye•.5 � <br /> rr r r** <br /> ql;p. <br /> PLAN <br /> _ . • _4:1 i Application Number <br /> REVIEW <br /> r, -1 -y : •` Checked by Dale <br /> Steve Perry <br /> Day hone <br /> 0 Applicants_._.____..._.._--.._...--'-'------...____=Y _....._ y P <br /> I_I.I.!•1_.I�I <br /> Applicant's Address # E I an Roa d <br /> =:�,, <br /> Representative(if any) NONE Day Phone <br /> ,. <br /> Representative's Address --- <br /> Donald Ruggeri <br /> Property owner(I f other than applicant] _._R.nhpe rt E_ C a ra dl C,&R „Realty T ri okay Phone759-5763 <br /> Owner's Address C/O 136 Pinkham Rd. E. Sandwich, MA 02537 <br /> Please indicate if all correspondence is to be sent to the applicant the representative X the property owner. <br /> What do you want to do? <br /> What is your final goal? --Operating & maintaining a i ` <br /> office---- <br /> Project Address Rt• 28 Mash ee <br /> Name of tract,development or business _ _ Madaket Place (Unit 3 BuiIding A)_�__ __..._.,..I...I <br /> Legal Description, Lot Block Tract <br /> Assessor's Parcel Number Unit 3) Present Zone/G. Designation Commercial <br /> I <br /> APPLICANTIREPRESENTATIVE: I have reviewed this com- PROPERTY OWNER/AUTHORIZED AGENT: I have read this <br /> pleted application and the attached material.The information pro- completed application and consent to its filing. <br /> vided is accurate. 1 understand the city might not approve what I'm <br /> applying for,or might set conditions of approval. <br /> Signed Date Signed-7Da <br /> yy <br /> Received by Date Receipt Na <br /> .. <br /> ��1 I_w._rl■....� Permit approved by Date <br /> Comments <br /> Vl', • <br /> I i'n <br /> ■rr1_I...�r•.y.__.1II__�✓.�Y.!_..�..r__.__I...rrrr__rr_.r.l•1_.._..�...�r_.P.._...^....rrlrll 1 I I.I 1._�.Y__._r__ -_ p��r1�.._IrPI�n.�_gl!•_III�_I_.� <br /> l•Sj <br /> i1 <br /> Et <br /> !7 E <br /> i <br /> r <br /> II` <br /> `si <br /> I <br /> I <br />