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DOCKET No.(S) Trial Court of Massachusetts <br /> CIVIL ACTION Superior Court Department <br /> COVER SHEET County: Barnstable <br /> NTIFF(S) DEFENDANT(S) Robe t Nel , et al, n ��it <br /> dable Housing Association of New England owcit as Members ohe Town o Mashpee <br /> ATTORNEY,FIRM NAME,ADDRESS AND TELEPHONE ATTOMET i nown) <br /> Robert F. Mills, Esq., Wynn &Wynn, P.C. <br /> 300 Barnstable Road, Hyannis, MA 02601 <br /> Board of Bar Overseers number: 542732 (508) 775-3665 <br /> Origin code and track designation <br /> Place an x in one box only: 4. F04 District Court Appeal c.231.s.97& 104(After <br /> ❑X 1. F01 Original Complaint trial) (X) <br /> 2. F02 Removal to Sup. Ct.C.231, s. 104 F15. F05 Reactivated after rescript; relief from <br /> (Before trial) (F) judgment/Order (Mass. R. Civ, P.60) (X) <br /> 3. F03 Retransfer to Sup. Ct. C.231,s. 102C (X) 6. El Summary Process Appeal (X) <br /> TYPE OF ACTION AND TRACK DESIGNATION (See reverse side) <br /> CODE NO. TYPE OF ACTION (specify) TRACK IS THIS A JURY CASE? <br /> CO2 Zoning Appeal C. 40A ( F ) ( )Yes (X )No <br /> The following is a full, itemized and detailed statement of the facts on which plaintiff relies to determine <br /> money damages. For this form,disregard double or treble damage claims; indicate single damages only. <br /> TORT CLAIMS <br /> (Attach additional sheets as necessary) <br /> A. Documented medical expenses to date: <br /> 1. Total hospital expenses...................................................................................................................... $ <br /> 2. Total Doctor expenses........................................................................................................................ $ <br /> 3. Total chiropractic expenses................................................................................................................ $ <br /> Total physical therapy expenses........................................................................................................ $ <br /> Total other expenses (describe)........................................................................................................ $ <br /> Subtotal $ 0.00 <br /> B. Documented lost wages and compensation to date.................................................................................. $ <br /> C. Documented property damages to date.................................................................................................... $ <br /> D. Reasonably anticipated future medical and hospital expenses................................................................. $ <br /> E. Reasonably anticipated lost wages........................................................................................................... $ <br /> F. Other documented items of damages (describe) <br /> G. Brief description of plaintiffs injury, including nature and extent of injury (describe) <br /> TOTAL $ 0.00 <br /> CONTRACT CLAIMS <br /> (Attach additional sheets as necessary) <br /> Provide a detailed description of claim(s): <br /> This is an appeal pursuant to M.G.L. c.40A, Section 17, from <br /> the decision of the Town of Mashpee Zoning Board of Appeals <br /> decision upholding the Building Commissioner's cease and TOTAL $ <br /> desit order. <br /> PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY,ANY RELATED ACTION PENDING IN THE SUPERIOR <br /> COURT DEPARTMENT <br /> "I hereby certify that I have complied with the requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on <br /> Dispute Resolution (SJC Rule 1:18) requiring that I provide my clients with information about court-connected dispute <br /> re-,olution services and discuss with t m the advantages and disadvantages of the various methods." <br /> I, iture of Attorney of Record DATE:July 1 4, 2008 <br /> AOTO-6 mtc005-11/99 <br /> A.O.S,O 1-2000 <br />