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MASHPEE ZONING BOARD OF APPEA ` <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A§9 and <br /> Town of Mashpee Zoning By-laws of 1987.10 CC 28 P 2 :20 <br /> To: Mashpee Zoning Board of Appeals Date: <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board of <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner: Ronald & Cheryl Bloom 30 Mohawk Dr. W Hartford, CT 06117 (860)231-9260 <br /> (Full name) (Address) (Telephone#) <br /> Property Owner: same as petitioner <br /> (Full name) (Address) (Telephone#) <br /> Location of Property: 176 Daniels Island Rd Zoning District R3 <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # 100 Parcel# 17 <br /> Dimensions of Lot: 100ft 132 65ft Area, 13,100t soft <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? 2 years <br /> State present use of premises: Residential <br /> State proposed use of premises: Residential with access to water <br /> What section(s) of the Zoning By-laws requires the permit you seek? 174-25 Section 9 <br /> Have you submitted plans for above to the Building Department? yes <br /> Hearing Date set for: <br /> I do hereby state that I have conferred with the Building Commissioner on a 0 and it <br /> has been determined that this project x does does not fall under the <br /> isdiction of a Conservation Commission. <br /> Michael J. Borselli <br /> etitioner's Signature Falmouth Engineering, Inc. _ <br /> 141 Locust Street Unit A <br /> Falmouth, MA 02540 <br /> 508-495-1225 <br /> i <br /> Agen s Signature/Address/Phone# <br />