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loft <br /> SO <br /> • !•.►•ewe <br /> yt, 1 OW.Y <br /> T 'r~ �*'•• 1 I <br /> Town of Mashpee <br /> r <br /> "w. S o <br /> P* - <br /> APPLICATION <br /> W 1 - ,�► <br /> Ct <br /> -PLAN 1 <br /> J=,J ! Application Number <br /> REVIEW ` f ' '• I Checked l] <br /> ,y �p% ` '� y Date <br /> Applicant--- le- Fo.V� .------•._.-. .� <br /> Day Phone 7-7_SC-) <br /> Applicant's Address fir? r y� `burr, , <br /> Representative(if any) �� <br /> Day Phone <br /> Representative's Address ��- �- t <br /> Property owner(If other than applicants to 1 A� C- l ,>in - �'t-r -- �-~�,�n Day Phone '1-17 ` :S�VPO <br /> Owner's Address vr"-.C»r7:1 - <br /> Please indicate it all correspondence is to be sent to the applicant 2/i'he representative L:the property owner. <br /> What do you want to do? <br /> What is your final goal? f <�, <br /> Project Address <br /> Name of tract, development or ousiness ,C\Yy\011(� <br /> Legal Description: Lot Block Bract <br /> Assessor's Parcel Number Present.Zone1G.P Designation <br /> `,APPLICANTIREPRESENTATIVE: t have reviewed this com- PROPERTY OWNER/AUTHORIZED -_ <br /> AGENT. l have reac _ <br /> oleted application and the attached material. The information pro- completed application and consent to its filing. <br /> •��Ced is accurate. I understand the city might not approve what I'm <br /> �applying for, or might set conditions of approval. <br /> �}�ne❑ Oate -- <br /> 5' "e° Date <br /> Y: <br /> t" <br /> E.a. Received by Date <br /> 9y <br /> Receipt Na <br /> `h. Permit approved by Date <br /> ' Comments <br /> -.5 <br /> s: z <br /> 1+ <br /> 1. 'S <br /> 1 <br /> 1 <br />