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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: ' (O <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: <br /> n s L4rz., Bor-n94;617 gyten, <br /> (Full name) (Address) (Telephone #) 6 <br /> 13ar,�Iev,d7 1, � &. �armejAo- <br /> Property Owner: f ' /' PA it Ilk' <br /> (Full name) (Address) (Telephone #) A4 <br /> • <br /> Location of Property: � P 4VI6 ' Zoning District 9-3 <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map# 1-23 Parcel # �J <br /> Dimensions of Lot: Area c5 <br /> (Frontage) (Depth) (Square t) <br /> How long have you owned premises? IVA <br /> State present use of premises: U (� <br /> State proposed use of premises: h L , <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> rg and.- rw'ep sa� Azdoozi�., <br /> Have you submitted plans for above to the Building Department? <br /> Hearing Date set for: S- Z g'®O <br /> 1 do hereby state that I have conferred with the Building ommissioner on and it <br /> has been determined that this project does does not fall under the <br /> jurisdiction of the Conservation Commission. <br /> 9- W <br /> Petitioner's Signature <br /> 1 ' �n <br /> 4�S 14 J J A 0 l <br /> Agent's Signature/Address/Phone # <br />