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MASHPEE ZONING BOARD OF APPEALS <br /> TC Vs N 0, I-HP" PETITION FOR A SPECIAL PERMIT <br /> i z T Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 <br /> °09 BAR 1 a�shp�6Zoning Board of Appeals Dater <br /> The undersigned petitions for a Special Permit from the Maslipee Zoning Board of <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner: t <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: � <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: 6 Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # C Parcel # ` " <br /> Dimensions of Lot: c Area 1 ; ` " <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> State present use of premises: " <br /> State proposed use of premises: VC. € <br /> What section(s) of the Zoning By-laws requires the permit you seek? 1-M-1 J W c) <br /> k <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: �A h <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 /> jurisdict' of the C se va '" Commission. <br /> Petitich"ier's Signature <br /> , <br /> Agent's Signature/Address/Phone # <br /> - -119C <br />