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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 /> T0: Mashpee Zoning Board of Appeals Date: <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-law of 1987: <br /> 21 V C� ZoningDistrict: <br /> Property Address: �pwCJ� <br /> Naw 3vytY4 <br /> �A�cis . �GMAI CO Piz. M 0 <br /> Current Property Owner: I ZO VdS A W ¢• <br /> a 3ox'730 NN-IN kA Q11G6 <br /> (Address) (Telephone#)jo$+Z 7 -�48� <br /> Registry of Deeds Title Reference: Book: Z I G-7 Page: Z k <br /> or Certificate of Title#: Z ZJ Z. and Land Court Lot#: and <br /> Plan#: <br /> Assessor's Map/Parcel#: Map: _7G Parcel: <br /> Dimensions of Lot: �� Z• Area: ©� �jC� s•� <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? g <br /> Current use of premises: <br /> C-5 (T)(5'?,j77 A c <br /> Proposed use of premises: <br /> Pertinent Section(s) of the Zoning By-laws: w <br /> Have you submitted plans for above to the Building Department? <br /> ZBA Public Hearings date scheduled for: <br /> TOWN CLERK <br /> DATE STAMP: <br /> Petitione ' Signatur — <br /> MASHPEE TOWN CLERK <br /> Agen*ignaturefMA <br /> JUL 1 2013. <br /> Agent's Address/Phone# <br />