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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: <br /> The undersigned petitions fora Special Permit from the Mashpee Zoning Boa /70 <br /> Appeals, as required by pertinent sections of the Zoning By-law of 1987: <br /> Petitioner: Q TGh J tom, $"� ' j- . p�Glr'1 � ��,� b ✓ <br /> ( Kull name) (Address) (Telephone #) <br /> Pro ert Owner: to 'ed e J— e C..��./ s cGn <br /> r Y <br /> (Full name) (Address) (Telephone #) <br /> Location of Propert -7y: �C_ iW USf'61. i Bonin District �. / <br /> P Yg <br /> (H use Number and Name of Street) U,, .4- -:tt r71- <br /> J <br /> Assessor's Map/Parcel Number: Map # 0 Parcel # t� <br /> Dimensions of Lot: Area <br /> (Frontage) (Depth) (Square Feet) <br /> l <br /> How long have you owned premises? /I <br /> State present use of premises: Le I,c I ' <br /> State proposed use of premises: k)f)+n ca e <br /> What section(s) of the Zoning By-laws requires the permit You seek? <br /> a � Y q p Y L2-) <br /> Have you submitted plans for above to the Building Department? <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 the Conservation Commission. <br /> Petiti is Signature l 6 a <br /> t,0 1 <br /> AdH VW, ,10 HMO Y <br /> 5 <br /> - 7`3 <br /> Agent's Signature/Address/Phone <br />