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TOWN OF MASHPEE <br /> T O W N C L E R K COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASIRPEE <br /> 'to N9V 23 P 2 :23 PLANNING BOARD <br /> APPLICAT#pN FOR SPECIAL PERMI'['MODIFICATION <br /> Date received by Town Clerlc.)�,oJ,ate Town Clerk Signature I Seal: <br /> The undersigned hereby�ap lies for a Modification of the Spacial Pest app ved by the ashpee <br /> Planning Board on S:J�}rt/ 'Ai9ll for a pmject entitled <br /> The original 9pecial Permit and any Modifications have been recorded' in the Barnstable County <br /> Registry of Deeds at the following Book(s)and Page(s): <br /> do <br /> Name of Applicant f/5qf EL- 1.;P7O,Qie4 Phone ✓����4��� <br /> i <br /> Address 5-7 �l�01 <br /> Oo3la�;� <br /> 21l& 6�l4z) <br /> Owner,if different ���� �D/� J��n/T �iYrC Phase e�i3—ilw—s'A�� <br /> Address <br /> Attach copies of (a)most recent recorded deed and(b)tax bill or Assessors certif cQtian. <br /> Deed of provexty necawled in Barnstable County RegislFy Book 43+0 Z Page /07 <br /> or Land Court Certificate of Title No. <br /> Location and description of property. Z -AeVAe oc 4�_ Z <br /> Mashpee Assessrns Map(s)aad B1ock(s): — <br /> Zoning District(s)in which property is located: <br /> How bong have you awned the property? D ELT �`�Al� �9'��/l9��✓j) <br /> Sectio (s)of the Zoning Bylaw which require(s)the permit you seek: <br /> Prrsent use of property: / ! <br /> Description of proposed modification (attach plops and documents as required by the Zoning By-haw <br /> and Special Pernut Regulations): <br /> Z�P <br /> 05 <br /> .0o OA6 <br /> Signature of Owner or Authorized Representative <br /> Atwch written authorization si ned ijowner. <br />