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Town of Mashpee �� <br /> f APPLICATION <br /> . <br /> .;. S moo <br /> PLAN <br /> •i 4 �' Application Number <br /> REVIEWClUcked by <br /> ti 4 E <br /> C;- <br /> Applicant Q d - D L as Y Phone C <br /> � <br /> PP g <br /> 001 <br /> A licant s Address G� t. CO <br /> ril <br /> Representative(it any) Day Phone <br /> Representative's Address <br /> Pr Owner other applicant) �f'f I�' see — <br /> operty 4 e � }of e t a app cant} !� Day Phone <br /> r_ <br /> owner's Address Q �r 51 ds2 .3 6 <br /> Please indicate it all correspondence is to be sent to ; the applicant w• the representative the property owner. <br /> What do you want to do? Opp <br /> What is your final goal? t. C ce, COU/0- <br /> Ck <br /> Project Address c_ L OVri <br /> Name of tract, development or business P c {ter <br /> Legal Description: Lot Block Tract �� ". - S/J. <br /> Assessor's Parcel Number Present Zone/G.P. Designation <br /> APPLiCANTIREPRESENTATtVE: I have reviewed this com- PROPERTY OwNERIAUTHORtZED AGENT: I have read this <br /> pleted application and the attached material.The information pro- completed a plication and consent to its filing. <br /> vided is accurate. I understa a city might not approve what I'm <br /> applying f ght set �ti f oval. <br /> qr 00, Z <br /> Signed Date Signed Date <br /> Received by Date Receipt No. <br /> Permit approved by Date <br /> .:f <br /> H' Comments <br /> �Y <br /> i <br /> EE <br /> a t <br /> r <br /> i <br /> ,ti <br /> 4.7+ <br /> i <br /> f <br /> '1�7 <br />