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MASHPEE ZONING BOARD OF APPEALS tV_ l q- ,2 7 <br /> PETITION FOR A VARIANCE <br /> Under Massachusetts General Laws Chapter 40A §10 and <br /> Town of Mashpee Zoning By-laws <br /> TO: Mashpee Zoning Board of Appeals Date: M O/ <br /> The undersigned Petitions the Mashpee Zoning Board of Appeals to vary, in the manner and for <br /> the reasons hereinafter set forth,the application of the provisions of the Zoning By-laws to the <br /> following described premises: <br /> Property Address: (� � ��(��1; Zoning District: 3 __ <br /> Petitioner: Alwz. <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#: M ,?-3/ <br /> Assessor's Map/Parcel: Map: l d\�_ Parcel: Extension: <br /> Dimensions of Lot: o� �?o Area: 6C� <br /> Frontage Depth Square Feet <br /> l <br /> �How long have you owned the premises? <br /> a y gars <br /> Current use of premises: Ax, <br /> -� Dimensions of existingbuilding(s) on the premises: aa(,P <br /> Dimensions of proposed construction: lly— `C. ,C(4r,�i��G <br /> Pertinent Section(s) of the Zoning By-laws and Variance relief requested: 174/-3 3.jglf ffWo <br /> / liyi � GIiX �4 CCz <br /> Have you submitted plans for above to the Building Department? <br /> ZBA Public Hearings date scheduled for: y�Q ( ( , <�1 TOWN CLERK <br /> DATE STAMP: <br /> Petitioner' Signature <br /> J Q C, MASHPEE TOWN CLERK <br /> Property Owner's Signature <br /> MAY <br /> RECEIVED 20�� <br /> RECEIVED BY r�,�L � <br /> Agent's Signature/Address/Phone# <br /> REVISED JANUAR'Y 2013 <br />