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� > <br /> 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: <br /> vh <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning BoWd of ,k <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987:12 <br /> Petitioner: <br /> (Full name) (Address) <br /> Property Owner: r) <br /> `" <br /> (Full i(ame) (Address) x (Telephone#) 4 <br /> /]cc <br /> Location of Property: omng District <br /> (House Number and Name of Street) <br /> C <br /> Assessor's Map/Parcel Number: Map # Parcel# <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? <br /> State present use of premises: QJ 14j <br /> State proposed use of premises: IC C�t T`J <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> i <br /> a <br /> ,may q <br /> Have you submitted plans for above to the Building Department? <br /> � <br /> Hearing Date set for: <br /> . sx <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 /> sdiction of the Conservation Commission. <br /> r <br /> ry e. <br /> Petitione s S gnature <br /> Agent's Signature/Address/Phone # <br />