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" '.. 3 <br /> Town of-Mashpee <br /> 16 Great J4ecly Poad,,Ni yth <br /> 9y`�AtILp;4k� Mashpee,AIassachusetts 02649 <br /> PETITION FOR SPECIAL PERMIT <br /> Per MGL Chapter 40A §9 and Town of Mashpee Zoning By Laws of 1987 <br /> Date July 29, 2015 Zoning District I-1 <br /> Print <br /> Property Address 29 Echo Road, Mashpee, MA <br /> Map 19 Parcel 3-9 <br /> 508-477-5567 (office) <br /> Petitioner Triple M. Management Company, LLC Phone 508-962-8425 (cell) <br /> Email markgildea@cbglawfirm.com <br /> Is this property within the Precontact or the Postcontact Archaeological Sensitivity areas El YES 1U NO <br /> Applying for (Check appropriate box(s)): <br /> ❑ Accessory Apartment ❑Commercial El Sign ❑Bed and Breakfast ❑Private NonProfit <br /> ❑Hospital/Nursing Home ❑Outdoor Recreation ❑ Indoor Recreation ❑Docks <br /> ❑Lumberyards/Landscaping ❑ Automotive Repair []Drive In ❑Wireless Services <br /> ❑Medical Uses ❑Kennel ❑Retail Sales ❑Eating Establishment n Other <br /> BRIEF DESCRIPTION Medical Marijuana Treatment Centerl Registered Marijuana <br /> Dispensary pursuant to Sec. 174-24(1) <br /> Owner's Signature or letter see attached <br /> Petitioner's Signature /Ka <br /> Mail certified copy of Decision to: Clark, Balboni & Gildea c/o Mark Gildea <br /> P.O. Box 1769 Mashpee, MA 02649 <br /> _ . v . . . . . . . . . _ . _ . _ . _ . _ . _ . _ . . . . . _ . _ . . . _ . _ . . . <br /> Scheduled Date U 5DATE STAMP <br /> JUL 3 0 2015 <br /> Rev. 3106115 PtEGEEIVED BY <br />