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4 <br /> MASHPEE ZONING <br /> N NG BOARD OF APPEALS <br /> f <br /> a , <br /> PETITION FOR A SPECIAL PERMIT <br /> Under Massachusetts General Laws Chapter 40A §9 and <br /> Town of Mashpee Zoning By-laws of 1987 A r <br /> To: Mashpee Zoning Board of Appeals Date: <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: (7 v � <br /> (Ful name) (Addy ss) (Telephone #) <br /> Property Owner: 6 c Wk HIStLI J�V�L)y- <br /> (Full name) (Address) (Telephone #) <br /> 1, / <br /> Location of Property: A <br /> - Zoning District 66!jII e <br /> (House Number and Name of Street) <br /> Assessor's•essor's Ma /Parcel Number: Ma # 6 6 Parcel # � <br /> Ass 1' p <br /> Dimensions of Lot: ® .o Area ' <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? ``� �ti(Zcr r 5 <br /> State present use of premises: 5 he-6t_s'e �`� Cl--Ws C h c1b, e!5 wKe'r_ <br /> U <br /> 1 <br /> State proposed use of premises: C <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> Have you submitted plans for above to the Building Department? �/L <br /> Hearing Date set for: � � <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 t Conserv, 'on Commission. <br /> �r <br /> Pet • s ignature <br /> Agent's Signature/Address/Phone # <br />