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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: <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 />r <br />Petitioner: ,rye L �`a l a �. <br />(Full name) (Address) (Telephone #) <br />Property Oumer:C <� � ) I - 16 � .� / % <br />(Full name) (Addre s) (Telephone #) <br />Location of Property: i 6i Ci' i Zoning District s- <br />(House Number and Name of Street) <br />Assessor's Map/Parcel Number: Map # Parcel # <br />Dimensions of Lot: / 0 o j d 6, 77 Area -�6 a .-m- <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? 17 <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 />l'Jul-is dict' of the Conservation Commission. <br />C <br />I ' � <br />Petitio er's Signature, <br />ti l� Old ©Z ddS 90" <br />'AI" I`� �j���01 <br />J3� <br />8HV <br />Agent's Signature/Address/Phone # <br />