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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: 2- c, 1-3- <br /> The undersigned Petitions for a Special Permit from the Mashpee Zoning Board of Appeals as <br /> required by pertinent sections of the Zoning By-laws of 1987: <br /> Property Address: ( Zoning District: / <br /> Petitioner: N1, <br /> CES ' I�t (j �f ;,&f;� ,.,1` . ( , `-'/c 1 + <br /> (Address) (Phone#) <br /> Lpei-ty owner: � .' � � '�,�1 � �"� N� <br /> (IF different from Petition ) n (Address) (Phone#) <br /> Registry of Deeds Title Reference: Book: h.6 Page: I <br /> and/or Certificate of Title#: 533 Z-Land Court Lot#: Plan#: <br /> Assessor's Map/Parcel#: Map: Parcel.• Extension: <br /> Dimensions of Lot: l C Area: SCE <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? � <br /> Current use of premises: �> <br /> Proposal: <br /> Pertinent Section(s) of the Zoning By-laws: <br /> ZBA Public Hearings date scheduled for: b - <br /> TOWN CLERK <br /> DATE STAMP: <br /> Petitioner's Signature MASHPEE TOWN CLERK <br /> JAN 3 0 2013 <br /> Ow is Si ure <br /> / RECEIVED BY � L <br /> Agent's Signature/Address/Phone# <br /> Dv , A.,1fl,,,,/ovQ <br /> Mail certified copy of Decision to: <br /> a <br /> i � 3 <br /> REVISED JANUARY 2013 <br />