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MASHPEE ZONING BOARD OF APPEALS <br /> PETITION FOR A rc'`rrGM.. <br /> Under Massachusetts General Laws Chapter 40A §10 and <br /> Town of Mashpee Zoning By-laws <br /> TO: Mashpee Zoning Board of Appeals Date: <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: Zoning District: a <br /> Current Property Owner: M C A . c ;;: c ck <br /> - i [ fit J+ E W <br /> (Address) (Telephone#) <br /> Registry of Deeds Title Reference: Book: Page: <br /> or Certificate of Title#: i and Land Court Lot#: and <br /> Plan#: <br /> Assessor's Map/Parcel: Map: ' � Parcel: <br /> Dimensions of Lot: 1 Eat 4CAX Area: B kyam__ <br /> Frontage Depth Square Feet <br /> How long have you owned the premises? <br /> Current use of premises: <br /> Dimensions of existing building(s) on the premises: <br /> Dimensions of proposed construction: 157 <br /> Pertinent Section(s) of the Zoning By-laws and Variance relief requested: <br /> Have you submitted plans for above to the Building Department? uvr <br /> ZBA Public Hearings date scheduled for: TOWN CLERK <br /> DATE STAMP: <br /> MASHPEE TOWN CLERK <br /> Petitioner's Signature <br /> MAY 3 1 2012 <br /> Agent's Signat re RECENED BY `�_ ' r ;> <br /> Agent's Address/Phone# <br /> REVISED JANUARY 2011 <br />