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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> Date: <br /> The undersigned Petitions for a Special Permit under the Masbpee Zoning Board of Appeals as <br /> required by pertinent sections of the Zoning By-laws of 1987: <br /> - 1(- rz-c 7 S (�,7, ,k 4 Zoning District: <br /> Property Address. <br /> vr, <br /> Petitioner: sc,"61-1- Fv"p),J)" <br /> (Address) (Phone#) <br /> Property owner: <br /> (IF different from Petitioner) (Address) (Phone#) <br /> Registry of Deeds Title Reference: Book: Page: <br /> and/or Certificate of Title#: Land Court Lot#: Plan#: <br /> Assessor's Map/Parcel#: Map: Parcel: 9 Extension: 0 <br /> Dimensions of Lot:— ,V"c , Area: <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? <br /> Current use of premises: <br /> -d <br /> Proposal: A 6- <br /> Pertinent Section(s) of the Zoning By-laws: i 4- — iiS'. <br /> ZBA Public Hearings date scheduled for: <br /> TOWN CLERK <br /> DATE STAMP: <br /> Petitioner's Signature MA c,-,V i P E E T 0 W iiq C L EFF1,of <br /> N JUL 2 1 H15 <br /> Owner's Signature F-1;FICEIVED <br /> Agent's Signature/Address/Phone# <br /> r) <br /> y <br /> Mail certified copy of Decision to: 17 Q <br /> VS-� ;3L(D I a(D(S- <br /> REVISED JAIL UARY 2013 <br />