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�jltAY"I'..eA In <br /> 4 <br /> own of Maslipee <br /> IU Great JN,6k Ao�act uN�cirtlt <br /> Allassarlitc5etts ()264 9 <br /> PETITION <br /> Per MOL Chapter 40A S 10 and Town of Mashpce Zoning By-Laws of 19 8.7 <br /> Date <br /> Zoning District <br /> Print <br /> Property Address_ t <br /> Map T21 Parcel <br /> Is property within a Special Permit area/Overlay District/Cluster subdivision? OYES L490 <br /> If YES, name of area/district/cluster <br /> Petitioner t C� i Phone <br /> Email i I - i, <br /> Owner's Name L( Phone <br /> t Proposed Use <br /> urrent Use p <br /> Subject: O Deck F4Addition O House O Pool [I Other <br /> Current: Lot Size Frontage— _Z. Lot Coverage, % <br /> Current: Front Set Back 0 � Side <90� Side t � t Rear t r <br /> r <br /> Proposed Relief: Short Frontage _ Short Lot Size Sho i`t Rear . <br /> -�, t C-, `> <br /> Short Side Short Side Short Front Set Back Over Lot Coverage <br /> Owner's Signature or letter <br /> Petitioner's Signature <br /> Mail certified copy of Decision to: <br /> lViASHPFE T <br /> D - <br /> AUG 1 ,L 201 <br /> TOWN C R1� <br /> Scheduled bate .. DAT STAMP <br />