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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: ;��Gt. go, ?aa <br /> The undersigned petitions for a Special Permit from the Mashpee Zoning Board oi' <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner: <br /> (Full name) (Address) (Telephone #) <br /> Property Owner: Z11WI), Jam/ a 1*17,,125' .Z1V 5 D Y.. -3 9-Q <br /> (Full name) (Address) (Telephone #) <br /> Location of Property: 311 Zoning District <br /> (House Number and Name of Street) <br /> Assessor's Map/Parcel Number: Map # Parcel # /%2 <br /> Dimensions of Lot: /O0,06 Area ly'f 95 6 <br /> (Frontage) (Depth) (Square Feet) <br /> How long have you owned premises? / ;>, <br /> State present use of premises: <br /> State proposed use of premises: <br /> What section(s) of the Zoning By-laws requires the permit you seek? <br /> Have you submitted plans for above to the uilding Department? fps <br /> Hearing Date set for: b <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 the C nservation Commission. <br /> ` ON t- Nnr Lo. Z <br /> 4Peitioiier's Signature N, <br /> P f ,_ 5 arc' Gi `/•�S�� <br /> 'A dHSVV, ��J' <br /> Agent's Signature/Address/Phone 9 <br />