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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: cl e q `l <br /> The undersigned Petitions for a Special Permit under the Mashpee Zoning Board of Appeals as <br /> required by pertinent sections of the Zoning By-laws of 1987: <br /> Property Address: I K) Zoning District: <br /> Petitioner: C' L�h, L`V 1 � 1 V <br /> (Address) (Phone#) <br /> Property owner: �Q rY-"Q—_ <br /> (IF different from Petitioner) (Address) (Phone#) <br /> Registry of Deeds Title Reference: Book: 04 ���I Page: z <br /> and/or Certificate of Title#: Land Court Lot#: Plan#: <br /> Assessor's Map/Parcel#: Map: `` Parcel: I I D Extension: <br /> Iu� ►z-6 �;7.26 %f� <br /> Dimensions of Lot: _7 41 sE, ' �?-_) ' I° Area: I <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? 5 1 r,c-A 1 CA g h� <br /> Current use of premises: <br /> Proposal: <br /> Pertinent Section(s) of the Zoning By-laws: <br /> ZZA Public Hearings date scheduled for: <br /> Y <br /> TOWN CLERK <br /> i' <br /> DATE STAMP: <br /> Petitio er's Signature A.__AS -� z- <br /> S <br /> Owner's Signature S E P 2 5 20 1k <br /> C RECEIVED BY, <br /> Agent's Signa e/Address/Phone# <br /> 7 <br /> Mail certified copy of Decision to: /r.s J 1 0 ��n d Ci <br /> REVISED JANUARY 2013 <br />