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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 <br />Date: G' 17,1L <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: �� �S" <br />Petitionei <br />Property Owner: <br />(Full name <br />(Address) <br />Location of Property: &S M Zoning District <br />(House Number and Name of Street) <br />- U 16, <br />(Telephone #) <br />�T <br />Assessor's Map/Parcel Number: Map Parcel # <br />Dimensions of Lot: 16 1,21 7� �, Area �_ Z, <br />(Frontage) (Depth) (Square Feet <br />How long have you owned premises? �C <br />State present use of premises: yac"—i_ <br />State proposed use of premises: i e rev <br />What section(s) of the Zoning By-laws requires the permit you seek? <br />a, <br />KC <br />Ittl <br />x 36, -7 <br />Have you submitted plans for above to the Building Department? <br />Hearing Date set for: le �a <br />k& <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 />ze�aL I g.. --- <br />Petitioner's Signatur <br />.33 <br />Agent's Signature/Address/Phone # <br />