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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR MODIFICATION OF A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> Date:: February 14 2013 <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: 16 Squaws Lane Zoning District: R_3 <br /> Petitioner: Jeffrey R Eydenberg,Tr Spec Pond Trust 125 Fire Road#11 Lancaster, MA 01523 <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#: 198323 Land Court Lot#: 8 (Blk F) Plan#:11408-L <br /> Assessor's Map/Parcel#: Map: 117 Parcel: 83 Extension: <br /> Dimensions of Lot: 82.25' 95' Area: 7814 <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? 6 months <br /> Current use of premises: Residential <br /> Proposal: To place fill on the lot so the septic system can conform to the minimum Title V <br /> standards. <br /> Pertinent Section(s) of the Zoning By-laws: 174-63 (� <br /> ZBA Public Hearings date scheduled for: <br /> TOWN CLERK <br /> DATE STAMP: <br /> Petitioner's Signature <br /> er's Signature <br /> ty{t q <br /> Agent's Signature/Address/Phone# Charlene Antrim, Cape and Islands Engineering, <br /> 800 Falmouth Rd, Suite 301C,Mashpee,MA 02649 508-477-7272 <br /> Mail certified copy of Decision to: MASH PEE TOWN CLERK <br /> FEB 1 2013 <br /> REVISED OCTOBER 2012 RECEIVED I3Y <br />