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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 /> To: Mashpee Zoning Board of Appeals Date: 4LW <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: 55'� d��(�, <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: &'AMA <br /> (Full name) (Address) (Telephone #) <br /> Location of Pro ert ,3704''g /7'IDN®Mo)D b` �'D <br /> p y: Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map# 196jib Parcel# /6 <br /> Dimensions of Lot: / X Area .9/2J <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> State present use of premises: jES�DI��IIt�L <br /> State proposed use of premises: <br /> CD <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> 1-0 <br /> Have you submitted plans for above to the Building Department? f-'6C401NAM <br /> Hearing Date set for: }~9680 M go 10 <br /> ON <br /> I do hereby state that I have conferred with the Building Commissioner on and it <br /> has been determined that this project does does not fall under the <br /> _jurisdiction of the Conservation Commission. <br /> Petitioner's Signature no N6&fdCS1 <br /> Agent's Signature/Address/Phone # <br />